Graduated: 2012
NPI: 1811231210
Practice Locations (3)
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
LIFESPAN PHYSICIAN GROUP INC
146 W RIVER ST
PROVIDENCE, RI 029042609
Source: CMS National Downloadable File, September 2026.