Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2001
NPI: 1114925831
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
436 ROUTE 79, SUITE 11
MORGANVILLE, NJ 077519783
7322637970
Source: CMS National Downloadable File, September 2026.