Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2014
NPI: 1104252972
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
NORTHEAST MEDICAL GROUP INC
95 ARMORY RD
STRATFORD, CT 066141702
2033843388
Source: CMS National Downloadable File, September 2026.