Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1991
NPI: 1366444754
Practice Locations (2)
1130 RARITAN RD, SUITE 1
CRANFORD, NJ 070163378
1905 N WOOD AVE
LINDEN, NJ 070363737
9089252020
Source: CMS National Downloadable File, September 2026.