Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2000
NPI: 1053595637
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
102 JAMES ST, SUITE 303
EDISON, NJ 088203970
8482052620
Source: CMS National Downloadable File, September 2026.