Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1976
NPI: 1972592822
Practice Locations (2)
465 SILAS DEANE HWY
Wethersfield, CT 061092134
465 SILAS DEANE HWY
WETHERSFIELD, CT 061092134
8605292500
Source: CMS National Downloadable File, September 2026.