Graduated: 2023
NPI: 1508639931
Practice Locations (3)
1007 N MAIN ST
DAYVILLE, CT 062412170
46 EDGEWOOD ST APT, SUITE 5
Stafford Springs, CT 060761253
46 EDGEWOOD ST, APT 5
STAFFORD SPRINGS, CT 060761253
Source: CMS National Downloadable File, September 2026.