Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1984
NPI: 1376500967
Practice Locations (1)
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC
298 S DELSEA DR
VINELAND, NJ 083604568
8566901616
Source: CMS National Downloadable File, September 2026.