Graduated: 2019
NPI: 1871152082
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
NUVANCE HEALTH MEDICAL PRACTICE CT INC
24 HOSPITAL AVE
DANBURY, CT 068106099
2037397118
Source: CMS National Downloadable File, September 2026.