Graduated: 2005
NPI: 1184852030
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
5 PERRYRIDGE RD
GREENWICH, CT 068304608
2038633840
STAMFORD HEALTH MEDICAL GROUP INC
1 HOSPITAL PLZ
STAMFORD, CT 069023602
2032761000
Source: CMS National Downloadable File, September 2026.