Medical school: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1538170493
Practice Locations (2)
PROSPECT CT MEDICAL FOUNDATION INC
18 HAYNES ST, UPPR LEVEL
MANCHESTER, CT 060404111
8606497557
PROSPECT CT MEDICAL FOUNDATION INC
10 N BENSON RD
MIDDLEBURY, CT 067623213
2037582458
Source: CMS National Downloadable File, September 2026.