Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1980
Offers telehealth
NPI: 1164516704
Practice Locations (3)
400 FRANKLIN TPKE
Mahwah, NJ 074303516
400 FRANKLIN TPKE
MAHWAH, NJ 074303516
400 FRANKLIN TPKE, SUITE 214
MAHWAH, NJ 074303519
2018189100
Source: CMS National Downloadable File, September 2026.