Graduated: 2020
NPI: 1588257299
Practice Locations (2)
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
2800 MAIN ST
BRIDGEPORT, CT 066064201
2035766000
TPTC-NH LLC
136 SHERMAN AVE, LOWR LEVEL
NEW HAVEN, CT 065115209
2036751199
Source: CMS National Downloadable File, September 2026.