Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1999
NPI: 1578552014
Practice Locations (1)
CODMAN SQUARE HEALTH CENTER, INC
637 WASHINGTON ST
DORCHESTER, MA 021243510
6178259660
Source: CMS National Downloadable File, September 2026.