Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1669401444
Practice Locations (2)
ST JOSEPH HOSPITAL
360 BROADWAY
BANGOR, ME 044013979
2079073650
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
Source: CMS National Downloadable File, September 2026.