Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1760448997
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC
795 MIDDLE ST
FALL RIVER, MA 027211733
5086745600
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014446966
Source: CMS National Downloadable File, September 2026.