Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1989
NPI: 1053322354
Practice Locations (3)
590 NEWARK AVE
JERSEY CITY, NJ 073062302
2016560588
90 SPARTA AVE
Sparta, NJ 078711730
90 SPARTA AVE
SPARTA, NJ 078711730
Source: CMS National Downloadable File, September 2026.