Graduated: 2016
NPI: 1578013868
Practice Locations (4)
MAINEHEALTH
10 GOODALL DR, SUITE 900
EAST WATERBORO, ME 040305233
2074907760
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
25 A JUNE ST
SANFORD, ME 040732642
YORK HOSPITAL
114 SANFORD RD, MYHEALTH WELLS
WELLS, ME 040905533
2076465211
Source: CMS National Downloadable File, September 2026.