Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2013
NPI: 1891133146
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC
88 WASHINGTON ST
TAUNTON, MA 027802465
5088287000
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.