Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1356437198
Practice Locations (2)
255 W SPRING VALLEY AVE, SUITE 103
MAYWOOD, NJ 076071444
2015251031
255 W SPRING VALLEY AVE, SUITE 103
MAYWOOD, NJ 076071445
Source: CMS National Downloadable File, September 2026.