Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2003
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1730379843
Practice Locations (1)
UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC.
830 EDDY ST
PROVIDENCE, RI 029054810
4018858484
Source: CMS National Downloadable File, September 2026.