Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1770834657
Practice Locations (2)
PROSPECT CT MEDICAL FOUNDATION INC
18 HAYNES ST, UPPR LEVEL
MANCHESTER, CT 060404111
8606497557
PROSPECT CT MEDICAL FOUNDATION INC
71 HAYNES ST
MANCHESTER, CT 060404131
8606476800
Source: CMS National Downloadable File, September 2026.