Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1998
NPI: 1174515902
Practice Locations (2)
311 WHITE HORSE AVE, SUITE D
HAMILTON, NJ 086101430
311 WHITEHORSE AVE, SUITE D
HAMILTON, NJ 086101430
6095880185
Source: CMS National Downloadable File, September 2026.