Medical school: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated: 1985
NPI: 1730146358
Practice Locations (2)
630 S MAIN ST
LANESBORO, MA 012379726
630 S MAIN ST, ACCESSIBLE MED ARTS
LANESBOROUGH, MA 012379726
4132360995
Source: CMS National Downloadable File, September 2026.