Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1104912864
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
55 SPRING ST
SCARBOROUGH, ME 040748926
2073031000
Source: CMS National Downloadable File, September 2026.