Graduated: 1990
NPI: 1669404190
Practice Locations (4)
BROWN MEDICINE
164 SUMMIT AVE
PROVIDENCE, RI 029062853
4017934050
BROWN MEDICINE
593 EDDY ST
PROVIDENCE, RI 029034923
4014444741
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014447024
BROWN MEDICINE
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
4016494010
Source: CMS National Downloadable File, September 2026.