Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
Also: SPORTS MEDICINE
NPI: 1265462733
Practice Locations (2)
45 FRANKLIN AVE
NUTLEY, NJ 071103224
NUTLEY ORTHOPAEDIC GROUP PA
45 FRANKLIN AVE
NUTLEY, NJ 071103224
9737510111
Source: CMS National Downloadable File, September 2026.