Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1986
Offers telehealth
NPI: 1013945211
Practice Locations (1)
NORTHEAST MEDICAL GROUP INC
226 MILL HILL AVE, SUITE 3
BRIDGEPORT, CT 066102826
2033843976
Source: CMS National Downloadable File, September 2026.