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 Taxonomies122300000X Dentist
133V00000X Dietitian, Registered
152W00000X Optometrist
207LC0200X Anesthesiology, Critical Care Medicine
Enumeration Date2012-05-22
Last Update Date2024-09-18
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