Graduated: 2016
NPI: 1891143459
Practice Locations (3)
NORTHEAST MEDICAL GROUP INC
365 MONTAUK AVE
NEW LONDON, CT 063204700
8604443735
NORTHEAST PLASTIC SURGERY CENTER LLC
12 HALLS RD, UNIT 878
OLD LYME, CT 063717040
NORTHEAST PLASTIC SURGERY CENTER LLC
5 DAVIS RD E
OLD LYME, CT 063711413
8603906000
Source: CMS National Downloadable File, September 2026.