Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1991
NPI: 1972576007
Practice Locations (2)
SOUTHEAST REHABILITATION ASSOCIATES, PC
231 WEAVER ST, UNIT F
FALL RIVER, MA 027201338
5086791400
LIFESPAN PHYSICIAN GROUP INC
765 ALLENS AVE, SUITE 110
PROVIDENCE, RI 029055443
4014326800
Source: CMS National Downloadable File, September 2026.