Graduated: 2011
NPI: 1376809244
Practice Locations (3)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
1000 ASYLUM AVE, SUITE 1075
HARTFORD, CT 061051770
8607144327
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND ST
HARTFORD, CT 061051208
Source: CMS National Downloadable File, September 2026.