Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 2003
NPI: 1245293885
Practice Locations (2)
601 HAMBURG TPK, SUITE 100
WAYNE, NJ 074702049
601 HAMBURG TPKE, SUITE 100
WAYNE, NJ 074702049
9738358350
Source: CMS National Downloadable File, September 2026.