Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1996
NPI: 1326074568
Practice Locations (2)
502 HAMBURG TPK, SUITE 103
WAYNE, NJ 07470
502 HAMBURG TPKE, SUITE 103
WAYNE, NJ 074708446
9737907090
Source: CMS National Downloadable File, September 2026.