Graduated: 2017
NPI: 1386143642
Practice Locations (2)
ORTHOPAEDIC SPECIALTY GROUP PC
305 BLACK ROCK TPKE
FAIRFIELD, CT 068255508
2033372600
IVYREHAB CONNECTICUT INC
500 CHASE PKWY, FL 1
WATERBURY, CT 067083346
2037542266
Source: CMS National Downloadable File, September 2026.