Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1003899683
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
6 GLEN COVE DR
ROCKPORT, ME 048564272
2079218969
Source: CMS National Downloadable File, September 2026.