Graduated: 2019
NPI: 1821650136
Practice Locations (4)
LIFESPAN PHYSICIAN GROUP INC
950 WARREN AVE
EAST PROVIDENCE, RI 029141432
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
2 DUDLEY ST
PROVIDENCE, RI 029053236
Source: CMS National Downloadable File, September 2026.