Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1997
NPI: 1003813551
Practice Locations (4)
160 RIDGE RD
LYNDHURST, NJ 070711275
2019399098
ST MARYS GENERAL MEDICAL GROUP PC
160 RIDGE RD
LYNDHURST, NJ 070711275
2019399098
ST MARYS GENERAL MEDICAL GROUP PC
350 BOULEVARD
PASSAIC, NJ 070552840
9733654300
SMGH PHYSICIAN PRACTICE MANAGEMENT LLC
350 BOULEVARD
PASSAIC, NJ 070552840
9737772005
Source: CMS National Downloadable File, September 2026.