Graduated: 2016
NPI: 1194176453
Practice Locations (3)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
BRIDGEPORT HOSPITAL
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
NORTHEAST MEDICAL GROUP INC
95 ARMORY RD
STRATFORD, CT 066141702
2033843388
Source: CMS National Downloadable File, September 2026.