Graduated: 2000
NPI: 1194924290
Practice Locations (2)
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
2800 MAIN ST
BRIDGEPORT, CT 066064201
4752105242
THE CHARLOTTE HUNGERFORD HOSPITAL
50 LITCHFIELD ST
TORRINGTON, CT 067906424
8604960542
Source: CMS National Downloadable File, September 2026.