Graduated: 1984
Offers telehealth
NPI: 1316000540
Practice Locations (2)
906 N 5TH ST, SUITE C 101
NEWARK, NJ 071072845
9736676650
HUDSON CO BOARD OF CHOSEN FREEHOLD ADMIN
595 COUNTY AVE
SECAUCUS, NJ 070942605
2013695252
Source: CMS National Downloadable File, September 2026.