Graduated: 2018
Also: HOSPITALIST
NPI: 1306305156
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
PROSPECT CT MEDICAL FOUNDATION INC
64 ROBBINS ST
WATERBURY, CT 067082613
2035736263
Source: CMS National Downloadable File, September 2026.