Graduated: 1992
NPI: 1104828193
Practice Locations (2)
ST MARYS GENERAL MEDICAL GROUP PC
350 BOULEVARD
PASSAIC, NJ 070552840
9733654300
NEW JERSEY HEALTHCARE SPECIALISTS PC
250 OLD HOOK RD
WESTWOOD, NJ 076753123
2018802700
Source: CMS National Downloadable File, September 2026.