Graduated: 2020
NPI: 1043965924
Practice Locations (3)
INTERMED PA
84 MARGINAL WAY
PORTLAND, ME 041012443
2077745816
INTERMED PA
100 FODEN RD
SOUTH PORTLAND, ME 041062327
2078741489
INTERMED PA
100 FODEN RD W, SUITE 100
SOUTH PORTLAND, ME 041062327
2075233900
Source: CMS National Downloadable File, September 2026.