Graduated: 2002
NPI: 1740222421
Practice Locations (3)
PROSPECT CHARTERCARE SJHSRI LLC
200 HIGH SERVICE AVE, FATIMA HOSPITAL PSYCHIATRIC/SOCIAL SERVICES
N PROVIDENCE, RI 029045113
4014563496
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 029084728
4014562000
AFFINITY PHYSICIANS LLC.
455 TOLL GATE RD
WARWICK, RI 028862759
4017377010
Source: CMS National Downloadable File, September 2026.