Graduated: 2012
NPI: 1730600107
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
EMERGENCY MEDICINE ASSOCIATES P.A., P.C.
8260 ATLEE RD
MECHANICSVILLE, VA 231161844
2406862300
Source: CMS National Downloadable File, September 2026.