Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 2014
NPI: 1386059558
Practice Locations (2)
36 GLENWOOD DR N
BERGENFIELD, NJ 076213346
7185105487
SOVEREIGN MEDICAL GROUP LLC
265 E 33RD ST
PATERSON, NJ 075041668
9736841011
Source: CMS National Downloadable File, September 2026.