Graduated: 1983
Also: INTERNAL MEDICINE
NPI: 1396714564
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
BRIDGEPORT HOSPITAL
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
Source: CMS National Downloadable File, September 2026.