Graduated: 1988
NPI: 1831176445
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC
795 MIDDLE ST
FALL RIVER, MA 027211733
5086745600
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.