Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1154372175
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
194 HOWARD ST
NEW LONDON, CT 063205544
8604443366
NORTHEAST MEDICAL GROUP INC
25 WELLS ST
WESTERLY, RI 028912922
4015966000
Source: CMS National Downloadable File, September 2026.