Graduated: 2022
NPI: 1457095010
Practice Locations (2)
EASTERN MAINE MEDICAL CENTER
417 STATE ST, SUITE 330
BANGOR, ME 044016638
2079738881
EASTERN MAINE MEDICAL CENTER
489 STATE ST
BANGOR, ME 044016616
2079737000
Source: CMS National Downloadable File, September 2026.