Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1994
NPI: 1316927726
Practice Locations (4)
NORTH WALTON RURAL HOSPITAL LLC
4413 US HWY 331 S
DEFUNIAK SPRINGS, FL 324356307
8509202065
EDISON RADIOLOGY GROUP PA JFK MEDICAL CENTER
65 JAMES ST
EDISON, NJ 088203947
7323217540
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
3548 US HWY 9
OLD BRIDGE, NJ 088572953
7329700420
Source: CMS National Downloadable File, September 2026.