Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1983
Offers telehealth
NPI: 1073521753
Practice Locations (1)
REVERE MEDICAL OF MASSACHUSETTS PC
2005 BAY ST, SUITE 201
TAUNTON, MA 027801085
5088222266
Source: CMS National Downloadable File, September 2026.