Medical school: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated: 2013
NPI: 1043647795
Practice Locations (2)
STAYWELL HEALTH CARE INC.
1302 S MAIN ST
WATERBURY, CT 067061748
2037568021
STAYWELL HEALTH CARE INC.
80 PHOENIX AVE
WATERBURY, CT 067021418
2037575491
Source: CMS National Downloadable File, September 2026.