LIFESPAN PHYSICIAN GROUP INC

PROVIDENCE, RI
NPI1548506793
Doing Business AsBROWN HEALTH MEDICAL GROUP
Entity TypeOrganization
Authorized ContactPETER K MARKELL
EVP & CFO
401-444-7914
Organization Subpart ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Additional Taxonomies103TC0700X Psychologist, Clinical
2084N0400X Psychiatry & Neurology, Neurology
103G00000X Clinical Neuropsychologist
2084N0600X 
103T00000X Psychologist
103TC2200X Psychologist, Clinical Child & Adolescent
1041C0700X Social Worker, Clinical
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry
Enumeration Date2012-12-17
Last Update Date2025-10-02
Business Address
LIFESPAN PHYSICIAN GROUP INC
593 EDDY STREET
PROVIDENCE, RI 02903
Phone number: 401-444-7442
Mailing Address
LIFESPAN PHYSICIAN GROUP INC
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779