Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1966
NPI: 1710908298
Practice Locations (4)
LIFESPAN PHYSICIAN GROUP INC
900 WARREN AVE
EAST PROVIDENCE, RI 029141430
LIFESPAN PHYSICIAN GROUP INC
185 A HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
LIFESPAN PHYSICIAN GROUP INC
185 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
LIFESPAN PHYSICIAN GROUP INC
208 COLLYER ST, SUITE 301A
PROVIDENCE, RI 029041560
4017254888
Source: CMS National Downloadable File, September 2026.