Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1988
Offers telehealth
NPI: 1104944263
Practice Locations (2)
29 S ST
NEW PROVIDENCE, NJ 079742934
29 S ST, SUITE 2
NEW PROVIDENCE, NJ 079742934
9086798181
Source: CMS National Downloadable File, September 2026.