Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1990
NPI: 1366413056
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
831 TENNENT RD, SUITE D
MANALAPAN, NJ 077268289
8558550338
Source: CMS National Downloadable File, September 2026.