Medical school: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1609526136
Practice Locations (2)
CEP AMERICA LLC
114 WOODLAND ST
HARTFORD, CT 061051208
8607144000
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1111 AMSTERDAM AVE
NEW YORK, NY 100251716
2129873100
Source: CMS National Downloadable File, September 2026.