Medical school: MEDICAL COLLEGE OF PENNSYLVANIA
Graduated: 1994
NPI: 1629075676
Practice Locations (3)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
BRIDGEPORT HOSPITAL
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
NORTHEAST MEDICAL GROUP INC
95 ARMORY RD
STRATFORD, CT 066141702
2033843388
Source: CMS National Downloadable File, September 2026.