Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1994
NPI: 1194811463
Practice Locations (2)
CITY OF NEWARK
110 WILLIAM ST
NEWARK, NJ 071021304
CITY OF NEWARK
110 WILLIAM ST, NEWARK DEPARTMENT OF HEALTH AND HUM
NEWARK, NJ 071021304
9734244271
Source: CMS National Downloadable File, September 2026.