Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1023104155
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
4 SCAMMON ST, SUITE 51
SACO, ME 040725122
2072823327
Source: CMS National Downloadable File, September 2026.