Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 2011
NPI: 1316226509
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
365 MONTAUK AVE
NEW LONDON, CT 063204700
NORTHEAST MEDICAL GROUP INC
95 ARMORY RD
STRATFORD, CT 066141702
2033843388
Source: CMS National Downloadable File, September 2026.