Graduated: 2007
NPI: 1760647176
Practice Locations (2)
GRAND MEDICAL LLC
258 GRAND AVE, SUITE 1
NEW HAVEN, CT 065133723
2037453627
NORTHEAST MEDICAL GROUP INC
50 GAYLORD FARM RD
WALLINGFORD, CT 064922828
2036793553
Source: CMS National Downloadable File, September 2026.