Graduated: 2020
NPI: 1962031336
Practice Locations (4)
GRIFFIN FACULTY PHYSICIANS INC
130 DIVISION ST
DERBY, CT 064181326
2037321352
PROSPECT CT MEDICAL FOUNDATION INC
18 HAYNES ST, UPPR LEVEL
MANCHESTER, CT 060404111
8606497557
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
29 HAYNES ST
MANCHESTER, CT 060404139
8605470616
PROSPECT CT MEDICAL FOUNDATION INC
71 HAYNES ST
MANCHESTER, CT 060404131
8606476800
Source: CMS National Downloadable File, September 2026.