Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1972685170
Practice Locations (3)
525 TAUNTON AVE
EAST PROVIDENCE, RI 029141604
4014380888
525 TAUNTON AVE, SUITE 100
EAST PROVIDENCE, RI 029141604
4014380888
525 TAUNTON AVE
E PROVIDENCE, RI 029141604
4014383170
Source: CMS National Downloadable File, September 2026.