Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1184622151
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
98 JAMES ST, SUITE 313
EDISON, NJ 088203902
7326351100
Source: CMS National Downloadable File, September 2026.