Medical school: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1619953312
Practice Locations (2)
MAINEHEALTH
35 MILE ST
DAMARISCOTTA, ME 045434047
2075631234
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
Source: CMS National Downloadable File, September 2026.