Graduated: 2015
Offers telehealth
NPI: 1164817623
Practice Locations (2)
BRIDGEPORT HOSPITAL
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
NORTHEAST MEDICAL GROUP INC
999 SILVER LN
TRUMBULL, CT 066115343
2033851111
Source: CMS National Downloadable File, September 2026.