Graduated: 2000
NPI: 1508975798
Practice Locations (2)
PROSPECT CT MEDICAL FOUNDATION INC
945 MAIN ST, SUITE 203
MANCHESTER, CT 060406064
8608716710
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
1244 STORRS RD, ROAD
STORRS, CT 062682200
8607242579
Source: CMS National Downloadable File, September 2026.