Graduated: 1996
NPI: 1467416800
Practice Locations (3)
INTERMED PA
100 FODEN RD
SOUTH PORTLAND, ME 041062327
2078741489
INTERMED PA
100 FODEN RD W, SUITE 100
SOUTH PORTLAND, ME 041062327
2075233900
INTERMED PA
50 FODEN RD, SUITE 3
SOUTH PORTLAND, ME 041061718
2075233700
Source: CMS National Downloadable File, September 2026.