Graduated: 1988
NPI: 1356378517
Practice Locations (2)
INTERNAL MEDICINE OF MORRIS COUNTY LLC
25 POCONO RD
DENVILLE, NJ 078342954
9739275788
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
104 ROUTE 72 EAST BOX 130, NEW LISBON DEVELOPMENTAL CENTER
NEW LISBON, NJ 080640130
6098944021
Source: CMS National Downloadable File, September 2026.