Graduated: 1998
Also: GERIATRIC PSYCHIATRY
NPI: 1205864022
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
BRIDGEPORT HOSPITAL
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
Source: CMS National Downloadable File, September 2026.