Medical school: COLLEGE OF MEDICINE AND SURGERY
Graduated: 1983
NPI: 1023021672
Practice Locations (1)
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC
352 S DELSEA DR, UNIT C
VINELAND, NJ 083605308
8566901616
Source: CMS National Downloadable File, September 2026.