Graduated: 2019
NPI: 1114546785
Practice Locations (3)
PROSPECT CT MEDICAL FOUNDATION INC
18 HAYNES ST, UPPR LEVEL
MANCHESTER, CT 060404111
8606497557
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
29 HAYNES ST
MANCHESTER, CT 060404139
8605470616
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
1244 STORRS RD, ROAD
STORRS, CT 062682200
8607242579
Source: CMS National Downloadable File, September 2026.