Graduated: 1983
Also: NEPHROLOGY
NPI: 1366692253
Practice Locations (2)
OPTUM MEDICAL CARE OF NEW JERSEY PC
506 BROADWAY
BAYONNE, NJ 070023712
2014717012
OPTUM MEDICAL CARE OF NEW JERSEY PC
2 S BLACK HORSE PIKE
MOUNT EPHRAIM, NJ 080591321
8569313107
Source: CMS National Downloadable File, September 2026.