Graduated: 2008
NPI: 1982859401
Practice Locations (2)
PROSPECT CT MEDICAL FOUNDATION INC
71 HAYNES ST
MANCHESTER, CT 060404131
8606476800
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
1244 STORRS RD, ROAD
STORRS, CT 062682200
8607242579
Source: CMS National Downloadable File, September 2026.