Graduated: 1983
NPI: 1265541056
Practice Locations (3)
QMG4 LLC
4200 MAIN ST
BRIDGEPORT, CT 066062303
2039165151
QMG3 LLC
389 BRIDGEPORT AVE
SHELTON, CT 064845303
2035674171
QMG5,LLC
57 MONROE TPKE
TRUMBULL, CT 066111315
2036751345
Source: CMS National Downloadable File, September 2026.