Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1999
NPI: 1386625382
Practice Locations (3)
ORTHONJ LLC
457 JACK MARTIN BLVD, SUITE 1
BRICK, NJ 087247776
7328407500
ORTHONJ LLC
765 LACEY RD
FORKED RIVER, NJ 087311304
7328407500
ORTHONJ LLC
2315 ROUTE 34
MANASQUAN, NJ 087361444
7329740404
Source: CMS National Downloadable File, September 2026.