Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 1982
NPI: 1720067366
Practice Locations (2)
114 WALTHAM ST, SUITE 21
LEXINGTON, MA 024215409
6178488553
405 WALTHAM ST, PMB 347
LEXINGTON, MA 024217934
Source: CMS National Downloadable File, September 2026.