Graduated: 1979
Offers telehealth
NPI: 1831134469
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
164 SUMMIT AVE
PROVIDENCE, RI 029062853
4017934300
THE MIRIAM HOSPITAL
164 SUMMIT AVE
PROVIDENCE, RI 029062894
4017938700
Source: CMS National Downloadable File, September 2026.