Graduated: 2021
NPI: 1356989495
Practice Locations (2)
PREMIER BARIATRIC NEW JERSEY PC
1121 ROUTE 22, SUITE 203
BRIDGEWATER, NJ 088072983
5166165500
BERGEN COUNTY IMPROVEMENT AUTHORITY
230 E RIDGEWOOD AVE
PARAMUS, NJ 076524142
2019674000
Source: CMS National Downloadable File, September 2026.