Graduated: 2003
NPI: 1093783656
Practice Locations (2)
HARTFORD HEALTHCARE URGENT CARE CENTERS LLC
385 W MAIN ST
AVON, CT 060014357
8607776977
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST APC, SUITE 6
PROVIDENCE, RI 029034923
4017939172
Source: CMS National Downloadable File, September 2026.