Graduated: 2012
NPI: 1740833037
Practice Locations (3)
THE MIRIAM HOSPITAL
164 SUMMIT AVE
PROVIDENCE, RI 029062853
4017933158
BROWN MEDICINE
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
4016494010
LIFESPAN PHYSICIAN GROUP INC
375 WAMPANOAG TRL, SUITE 402
RIVERSIDE, RI 029152237
4016494000
Source: CMS National Downloadable File, September 2026.