Medical school: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated: 1999
NPI: 1588866768
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
2 DUDLEY ST
PROVIDENCE, RI 029053236
4014534500
UNIVERSITY SURGICAL ASSOCIATES, INC.
2 DUDLEY ST
PROVIDENCE, RI 029053248
4012721800
Source: CMS National Downloadable File, September 2026.