Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
Offers telehealth
NPI: 1629058615
Practice Locations (2)
NORTHBAY HEALTH MEDICAL FOUNDATION
1860 PENNSYLVANIA AVE
FAIRFIELD, CA 945333590
7076464114
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
1860 PENNSYLVANIA AVE, SUITE 120
FAIRFIELD, CA 945333550
7076464400
Source: CMS National Downloadable File, September 2026.