Graduated: 2005
NPI: 1871751917
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
2 DUDLEY ST
PROVIDENCE, RI 029053236
4014442299
UNIVERSITY SURGICAL ASSOCIATES, INC.
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 029053248
4012721800
Source: CMS National Downloadable File, September 2026.