Graduated: 2012
NPI: 1619222783
Practice Locations (3)
MAINEHEALTH
5 BUCKNAM RD, SUITE 1D
FALMOUTH, ME 041051208
2077811551
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
84 CAMPUS DR
SCARBOROUGH, ME 040747133
2073967000
Source: CMS National Downloadable File, September 2026.