Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2020
NPI: 1376170829
Practice Locations (3)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
335 BRIGHTON AVE
PORTLAND, ME 041022363
2076628000
MAINEHEALTH
335 BRIGHTON AVE, SUITE B
PORTLAND, ME 041022363
2076628600
Source: CMS National Downloadable File, September 2026.