Graduated: 1995
NPI: 1679558266
Practice Locations (3)
LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC
72 WASHINGTON ST, SUITE 2700
TAUNTON, MA 027802498
5088244535
STATE OF RHODE ISLAND
111 HOWARD AVE
CRANSTON, RI 029203001
4014623666
PRIME HEALTHCARE SERVICES LANDMARK LLC
115 CASS AVE
WOONSOCKET, RI 028954705
4017694100
Source: CMS National Downloadable File, September 2026.