Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1986
Also: PULMONARY DISEASE
NPI: 1164446761
Practice Locations (2)
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
59 KOCH AVE
MORRIS PLAINS, NJ 079504400
9735381800
CENTRAL AVENUE PROFESSIONAL SERVICES, PC
111 CENTRAL AVE
NEWARK, NJ 071021909
9738775060
Source: CMS National Downloadable File, September 2026.