Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1981
NPI: 1134161813
Practice Locations (2)
935 KINGS HWY, SUITE 100
WEST DEPTFORD, NJ 08086
935 KINGS HWY 100
WEST DEPTFORD, NJ 080862238
Source: CMS National Downloadable File, September 2026.