Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
Offers telehealth
NPI: 1780624601
Practice Locations (2)
1 DAVOL SQ, SUITE 304
PROVIDENCE, RI 029034755
4013697070
ONE DAVOL SQUARE, SUITE 304
PROVIDENCE, RI 029034755
Source: CMS National Downloadable File, September 2026.