Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1979
NPI: 1003933805
Practice Locations (2)
EASTERN MAINE MEDICAL CENTER
417 STATE ST
BANGOR, ME 044016634
EASTERN MAINE MEDICAL CENTER
489 STATE ST
BANGOR, ME 044016616
2079737000
Source: CMS National Downloadable File, September 2026.