Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1740714807
Practice Locations (3)
55 FRUIT ST
BOSTON, MA 021142696
149 13TH ST, BLDG 62 102
CHARLESTOWN, MA 021292000
PO BOX, SUITE 9142
CHARLESTOWN, MA 021299142
Source: CMS National Downloadable File, September 2026.