Graduated: 2024
NPI: 1760299267
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
IMPACT HEALTH PC
240 INDIAN RIVER RD, SUITE C
ORANGE, CT 064773649
2034973861
Source: CMS National Downloadable File, September 2026.