Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1989
NPI: 1215984141
Practice Locations (2)
CENTRAL AVENUE PROFESSIONAL SERVICES, PC
111 CENTRAL AVE
NEWARK, NJ 071021909
9738775300
CENTRAL AVENUE PROFESSIONAL SERVICES, PC
350 BOULEVARD
PASSAIC, NJ 070552840
9733654800
Source: CMS National Downloadable File, September 2026.