Medical school: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1981
Offers telehealth
NPI: 1255368338
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
901 WILSHIRE BLVD, FL 1
SANTA MONICA, CA 904011854
3108298945
Source: CMS National Downloadable File, September 2026.