Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1750348157
Practice Locations (2)
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 029084728
4014562026
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 029084735
Source: CMS National Downloadable File, September 2026.