Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1912988874
Practice Locations (4)
960 MASSACHUSETTS AVE, FL 2
Boston, MA 021182690
720 HARRISON AVE
BOSTON, MA 021182376
960 MASSACHUSETTS AVE, SUITE 2
BOSTON, MA 021182620
110 LIBERTY ST
BROCKTON, MA 023015521
Source: CMS National Downloadable File, September 2026.