Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1588648356
Practice Locations (2)
PRIME HEALTHCARE SERVICES LANDMARK LLC
115 CASS AVE
WOONSOCKET, RI 028954705
4017694100
PRIME HEALTHCARE SERVICES LANDMARK LLC
255 CASS AVE
WOONSOCKET, RI 028954705
4017694100
Source: CMS National Downloadable File, September 2026.