Graduated: 1996
NPI: 1174784243
Practice Locations (2)
RWJBH OBSERVATION ASSOCIATES LLC
355 GRAND ST
JERSEY CITY, NJ 073024321
2019152000
INTERFAITH PROFESSIONAL PHYSICIAN SERVICES PC
1545 ATLANTIC AVE
BROOKLYN, NY 112131122
7186134000
Source: CMS National Downloadable File, September 2026.