Graduated: 2022
Offers telehealth
NPI: 1508519943
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
164 SUMMIT AVE
PROVIDENCE, RI 029062853
4017934102
THE MIRIAM HOSPITAL
164 SUMMIT AVE
PROVIDENCE, RI 029062853
4017934102
Source: CMS National Downloadable File, September 2026.