Graduated: 1978
NPI: 1093821696
Practice Locations (3)
CAPITAL HEALTH MULTISPECIALTY GROUP
1 CAPITAL WAY
PENNINGTON, NJ 085342520
6093034000
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
100 SULLIVAN WAY
TRENTON, NJ 086250500
6096331562
CAPITAL HEALTH MULTISPECIALTY GROUP
750 BRUNSWICK AVE
TRENTON, NJ 086384143
6093946000
Source: CMS National Downloadable File, September 2026.