Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2002
NPI: 1912924762
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
95 ARMORY RD
STRATFORD, CT 066141702
2033843388
NORTHEAST MEDICAL GROUP, PLLC
18 RYE RIDGE PLZ
RYE BROOK, NY 105732820
9142539252
Source: CMS National Downloadable File, September 2026.