Medical school: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated: 2014
NPI: 1588076558
Practice Locations (2)
PROSPECT CHARTERCARE PHYSICIANS LLC
1 OFFICE PKWY
EAST PROVIDENCE, RI 029141643
4014319219
PROSPECT CHARTERCARE SJHSRI LLC
2 WAKE ROBIN RD, FATIMA HOSPITAL WOUND CARE GROUP
LINCOLN, RI 028654295
4013343830
Source: CMS National Downloadable File, September 2026.