Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1255435558
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
19 HALLS RD
OLD LYME, CT 063711457
8604348300
NORTHEAST MEDICAL GROUP INC
95 ARMORY RD
STRATFORD, CT 066141702
2033843388
Source: CMS National Downloadable File, September 2026.