Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2020
NPI: 1083241038
Practice Locations (2)
500 FRANK W BURR BLVD, SUITE 560
TEANECK, NJ 07601
PO BOX, SUITE 789216
PHILADELPHIA, PA 191789216
Source: CMS National Downloadable File, September 2026.