Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1720005481
Practice Locations (2)
211 PARK ST
ATTLEBORO, MA 027033143
5082225200
450 VETERANS MEMORIAL PKWY, BLDG 11
EAST PROVIDENCE, RI 029145300
4013053322
Source: CMS National Downloadable File, September 2026.