Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1285602383
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
400 FRANK W BURR BLVD, 22 HMHMG SPECIALTY CARE
TEANECK, NJ 076666700
2014616200
Source: CMS National Downloadable File, September 2026.