Graduated: 2016
NPI: 1336683309
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
194 HOWARD ST
NEW LONDON, CT 063205544
8604443366
NORTHEAST MEDICAL GROUP INC
45 WELLS ST, SUITE 104
WESTERLY, RI 028912927
4013480008
Source: CMS National Downloadable File, September 2026.