Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1366005795
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
HARTFORD HOSPITAL
200 RETREAT AVE, IOL COMPUS
HARTFORD, CT 061063310
8605457500
Source: CMS National Downloadable File, September 2026.