Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1053407601
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2077063280
MAINEHEALTH
272 CONGRESS ST
PORTLAND, ME 041013637
2078742466
Source: CMS National Downloadable File, September 2026.