Graduated: 2003
NPI: 1780870691
Practice Locations (6)
THE MIRIAM HOSPITAL
1454 S COUNTY TRL, SUITE 2000
EAST GREENWICH, RI 028181750
4016061100
LIFESPAN PHYSICIAN GROUP INC
19 FRIENDSHIP ST
NEWPORT, RI 028402200
LIFESPAN PHYSICIAN GROUP INC
185 A HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
LIFESPAN PHYSICIAN GROUP INC
185 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
THE MIRIAM HOSPITAL
208 COLLYER ST, SUITE 100
PROVIDENCE, RI 029041560
4017937191
LIFESPAN PHYSICIAN GROUP INC
25 S COUNTY COMMONS WAY, SUITE 2
WAKEFIELD, RI 028798271
4016061004
Source: CMS National Downloadable File, September 2026.