Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1992
Offers telehealth
NPI: 1902802879
Practice Locations (1)
REVERE MEDICAL OF MASSACHUSETTS PC
60 E ST, 1400 REVERE MEDICAL MULTISPECIALTY CENTER M
METHUEN, MA 01844
6172026001
Source: CMS National Downloadable File, September 2026.