Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1013977453
Practice Locations (2)
IHPNJ ER LLC
29 E 29TH ST
BAYONNE, NJ 070024695
2018585000
SMALL HOSPITAL INNOVATIONS LLC
111 CENTRAL AVE
NEWARK, NJ 071021909
9738775000
Source: CMS National Downloadable File, September 2026.