Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1986
NPI: 1205879525
Practice Locations (2)
106 GRAND AVE
ENGLEWOOD, NJ 076313574
2016080100
HOLY NAME PRIMARY CARE AND SPECIALTY ASSOCIATES PC
718 TEANECK RD
TEANECK, NJ 076664245
2018333000
Source: CMS National Downloadable File, September 2026.