Graduated: 2010
NPI: 1811282767
Practice Locations (2)
RADIOSURGERY CENTER OF RHODE ISLAND LLC
593 EDDY ST
PROVIDENCE, RI 029034923
4014443600
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.