Graduated: 1989
NPI: 1962439786
Practice Locations (4)
LIFESPAN PHYSICIAN GROUP INC
11 FRIENDSHIP ST
NEWPORT, RI 028402209
4018466400
LIFESPAN PHYSICIAN GROUP INC
185 A HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
LIFESPAN PHYSICIAN GROUP INC
185 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
PRIME HEALTHCARE SERVICES LANDMARK LLC
115 CASS AVE
WOONSOCKET, RI 028954705
4017694100
Source: CMS National Downloadable File, September 2026.