Graduated: 2003
NPI: 1679638993
Practice Locations (2)
STATE OF CONNECTICUT
401 W THAMES ST, BLDG 301
NORWICH, CT 063607155
8608594500
STATE OF CONNECTICUT
2 CTR W RD
OLD SAYBROOK, CT 064754052
8603955040
Source: CMS National Downloadable File, September 2026.