Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1962602359
Practice Locations (2)
STATE OF CONNECTICUT
263 FARMINGTON AVE
FARMINGTON, CT 060300001
8606792000
CEP AMERICA LLC
56 FRANKLIN ST
WATERBURY, CT 067061253
2037096000
Source: CMS National Downloadable File, September 2026.