Graduated: 1999
NPI: 1790962017
Practice Locations (4)
YALE UNIVERSITY
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
YALE UNIVERSITY
1450 CHAPEL ST B
NEW HAVEN, CT 065114405
20386754204405
YALE UNIVERSITY
20 YORK ST
NEW HAVEN, CT 065103220
2036884242
YALE UNIVERSITY
800 HOWARD AVE
NEW HAVEN, CT 065191369
2037852140
Source: CMS National Downloadable File, September 2026.