Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1588611081
Practice Locations (3)
COASTAL MEDICAL PHYSICIANS INC
593 EDDY ST
PROVIDENCE, RI 029034923
4016494000
BROWN MEDICINE
593 EDDY ST
PROVIDENCE, RI 029034923
4014444741
BROWN MEDICINE
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
4016494010
Source: CMS National Downloadable File, September 2026.