Graduated: 2000
NPI: 1669423570
Practice Locations (3)
EASTERN MAINE MEDICAL CENTER
302 HUSSON AVE
BANGOR, ME 044013374
2079476141
EASTERN MAINE MEDICAL CENTER
417 STATE ST
BANGOR, ME 044016639
EASTERN MAINE MEDICAL CENTER
489 STATE ST
BANGOR, ME 044016616
2079737000
Source: CMS National Downloadable File, September 2026.