Graduated: 1985
NPI: 1801844675
Practice Locations (2)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
166 WATERBURY RD, SUITE 300
PROSPECT, CT 067121246
2037095300
PROSPECT CT MEDICAL FOUNDATION INC
64 ROBBINS ST
WATERBURY, CT 067082613
2035736263
Source: CMS National Downloadable File, September 2026.