Graduated: 2017
Offers telehealth
NPI: 1689101693
Practice Locations (2)
THE MIRIAM HOSPITAL
164 SUMMIT AVE
PROVIDENCE, RI 029062853
4017934102
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.