Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2000
NPI: 1346604121
Practice Locations (2)
1086 TEANECK RD, SUITE 3E
TEANECK, NJ 076664855
2015756291
440 SAGAMORE AVE
TEANECK, NJ 076662626
Source: CMS National Downloadable File, September 2026.