Graduated: 2024
NPI: 1952122996
Practice Locations (3)
NORTHEAST MEDICAL GROUP INC
365 MONTAUK AVE
NEW LONDON, CT 063204700
8604443735
PROVIDENCE BEHAVIORAL HEALTH ASSOCIATES INC
1075 SMITH ST, SUITE 2
PROVIDENCE, RI 029082700
4013699224
NORTHEAST MEDICAL GROUP INC
45 E AVE
WESTERLY, RI 028913113
4016374186
Source: CMS National Downloadable File, September 2026.