Graduated: 2023
NPI: 1528747748
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
2800 MAIN ST
BRIDGEPORT, CT 066064201
2035766000
Source: CMS National Downloadable File, September 2026.