Graduated: 2022
NPI: 1780393009
Practice Locations (3)
CENTRAL MAINE MEDICAL CENTER
300 MAIN ST
LEWISTON, ME 042407027
2077533900
INTERMED PA
100 FODEN RD
SOUTH PORTLAND, ME 041062327
2078741489
INTERMED PA
100 FODEN RD W, SUITE 100
SOUTH PORTLAND, ME 041062327
2075233900
Source: CMS National Downloadable File, September 2026.