Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1790880169
Practice Locations (2)
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC.
355 PRAIRIE AVE
PROVIDENCE, RI 029051928
4014440570
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC.
375 ALLENS AVE
PROVIDENCE, RI 029055010
4014440400
Source: CMS National Downloadable File, September 2026.