Graduated: 1993
NPI: 1912918731
Practice Locations (3)
LIFESPAN PHYSICIAN GROUP INC
950 WARREN AVE, SUITE 302
EAST PROVIDENCE, RI 029141432
4014446551
RHODE ISLAND HOSPITAL
245 CHAPMAN ST, SUITE 300
PROVIDENCE, RI 029054539
4014445280
RHODE ISLAND HOSPITAL
593 EDDY ST
PROVIDENCE, RI 029034923
Source: CMS National Downloadable File, September 2026.