Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1995
NPI: 1396734497
Practice Locations (2)
EASTERN MAINE MEDICAL CENTER
489 STATE ST
BANGOR, ME 044016616
2079737000
MAINE COAST REGIONAL HEALTH FACILITIES
50 UNION ST, SUITE 3200
ELLSWORTH, ME 046051534
2076645650
Source: CMS National Downloadable File, September 2026.