Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1407836927
Practice Locations (1)
LOWELL ORAL SURGERY ASSOCIATES, INC
33 BARTLETT ST, SUITE 405
LOWELL, MA 018521318
9784581264
Source: CMS National Downloadable File, September 2026.