Graduated: 2001
NPI: 1841807633
Practice Locations (2)
ORTHOPEDICS RHODE ISLAND INC
285 PROMENADE ST
PROVIDENCE, RI 029085794
4017777000
LIFESPAN PHYSICIAN GROUP INC
66 BRANCH AVE, SUITE 150
PROVIDENCE, RI 029042756
4016062590
Source: CMS National Downloadable File, September 2026.