Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1992889992
Practice Locations (3)
BAYSTATE MEDICAL PRACTICES INC
21 DWIGHT RD
LONGMEADOW, MA 011061765
BAYSTATE MEDICAL PRACTICES INC
280 CHESTNUT ST, SUITE 2
SPRINGFIELD, MA 011991001
BAYSTATE MEDICAL PRACTICES INC
759 CHESTNUT ST
SPRINGFIELD, MA 011991001
4137945439
Source: CMS National Downloadable File, September 2026.