Medical school: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated: 1979
NPI: 1740259886
Practice Locations (2)
PROSPECT CT MEDICAL FOUNDATION INC
130 HARTFORD RD
MANCHESTER, CT 060405921
8605334673
MARY HITCHCOCK MEMORIAL HOSPITAL
1 MEDICAL CTR DR
LEBANON, NH 037561000
6036505000
Source: CMS National Downloadable File, September 2026.