LIFESPAN PHYSICIAN GROUP, INC.

PROVIDENCE, RI
NPI1407116643
Doing Business AsBROWN HEALTH MEDICAL GROUP
Entity TypeOrganization
Authorized ContactPETER K MARKELL
EVP & CFO
401-444-7914
Organization Subpart ?Yes
Primary Taxonomy208D00000X General Practice
Additional Taxonomies208600000X Surgery
2086S0102X Surgery, Surgical Critical Care
133V00000X Dietitian, Registered
208C00000X Colon & Rectal Surgery
2086S0129X 
152W00000X Optometrist
2086S0127X Surgery, Trauma Surgery
207V00000X Obstetrics & Gynecology
204F00000X Transplant Surgery
208200000X Plastic Surgery
2086X0206X Surgery, Surgical Oncology
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
2086S0120X Surgery, Pediatric Surgery
207LC0200X Anesthesiology, Critical Care Medicine
Enumeration Date2012-05-22
Last Update Date2025-10-07
Business Address
LIFESPAN PHYSICIAN GROUP, INC.
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-6779
Mailing Address
LIFESPAN PHYSICIAN GROUP, INC.
117 ELLENFIELD ST SUITE 101
PROVIDENCE, RI 02905-4513
Phone number: 401-444-6779