Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1996
NPI: 1114993946
Practice Locations (1)
CHILDREN'S SPECIALIZED HOSPITAL
150 NEW PROVIDENCE RD
MOUNTAINSIDE, NJ 070922590
9082333720
Source: CMS National Downloadable File, September 2026.