Graduated: 2024
NPI: 1104499094
Practice Locations (3)
YALE UNIVERSITY
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
YALE UNIVERSITY
800 HOWARD AVE
NEW HAVEN, CT 065191369
2037852140
YALE UNIVERSITY
5520 PARK AVE
TRUMBULL, CT 066113463
2037854081
Source: CMS National Downloadable File, September 2026.