Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1988
NPI: 1982644100
Practice Locations (3)
BROWN MEDICINE
164 SUMMIT AVE
PROVIDENCE, RI 029062853
4017934050
THE MIRIAM HOSPITAL
180 CORLISS ST
PROVIDENCE, RI 029042602
LIFESPAN PHYSICIAN GROUP INC
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
4016494000
Source: CMS National Downloadable File, September 2026.