Graduated: 1986
NPI: 1659300416
Practice Locations (2)
HARVEST HEALTHCARE LLC
21 WATERVILLE RD
AVON, CT 060012097
8602840182
SOUTH-WEST COMMUNITY HEALTH CENTER INC
46 ALBION ST
BRIDGEPORT, CT 066052602
2033323505
Source: CMS National Downloadable File, September 2026.