Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2004
Offers telehealth
NPI: 1295955219
Practice Locations (2)
P O BOX, SUITE 778
EASTON, MD 216018914
38 MEADOWLANDS PKWY, SUITE 205
SECAUCUS, NJ 070942925
Source: CMS National Downloadable File, September 2026.