Medical school: COLLEGE OF MEDICINE AND SURGERY
Graduated: 1984
NPI: 1679680391
Practice Locations (2)
764 CAMPBELL AVE, SUITE B
WEST HAVEN, CT 065160966
764 CAMPBELL AVE, SUITE B
WEST HAVEN, CT 065163786
2039378778
Source: CMS National Downloadable File, September 2026.