Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1336101104
Practice Locations (2)
MAINEHEALTH
3 SHAPE DR
KENNEBUNK, ME 040436601
2074678930
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
Source: CMS National Downloadable File, September 2026.