Medical school: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated: 2008
NPI: 1063672228
Practice Locations (2)
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.