Graduated: 2020
NPI: 1689270597
Practice Locations (3)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
100 CAMPUS DR, UNIT 125
SCARBOROUGH, ME 040747171
2078830069
MAINEHEALTH
100 US ROUTE 1, MMC SCARBOROUGH CAMPUS
SCARBOROUGH, ME 040747171
2078857500
Source: CMS National Downloadable File, September 2026.