Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 2005
NPI: 1760607659
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC
88 WASHINGTON ST
TAUNTON, MA 027802465
5088287000
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014447024
Source: CMS National Downloadable File, September 2026.