Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1989
NPI: 1376619908
Practice Locations (1)
RUTGERS HEALTH-PCC MONUMENT SQUARE
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 089011928
7322356200
Source: CMS National Downloadable File, September 2026.