Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1987
Offers telehealth
NPI: 1912292202
Practice Locations (3)
34 CAPTAIN JOHN JACOBS RD APT, SUITE 309
East Providence, RI 029145391
34 CAPTAIN JOHN JACOBS RD, APT 309
EAST PROVIDENCE, RI 029145342
34 CAPTAIN JOHN JACOBS RD, APT 309
EAST PROVIDENCE, RI 029145391
8027353265
Source: CMS National Downloadable File, September 2026.