Graduated: 2003
NPI: 1609447671
Practice Locations (3)
STAYWELL HEALTH CARE INC.
1309 S MAIN ST
WATERBURY, CT 067061758
2037568021
PROSPECT CT MEDICAL FOUNDATION INC
64 ROBBINS ST
WATERBURY, CT 067082613
2035736263
STAYWELL HEALTH CARE INC.
80 PHOENIX AVE
WATERBURY, CT 067021418
2037575491
Source: CMS National Downloadable File, September 2026.