Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1999
NPI: 1275511875
Practice Locations (2)
646 ROUTE 18, SUITE 116
EAST BRUNSWICK, NJ 088163722
7326138637
646 ROUTE 18 116
EAST BRUNSWICK, NJ 088163722
Source: CMS National Downloadable File, September 2026.