Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 1994
NPI: 1801811260
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
146 W RIVER ST
PROVIDENCE, RI 029042609
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
Source: CMS National Downloadable File, September 2026.