Graduated: 1994
NPI: 1386673655
Practice Locations (3)
CENTRAL AVENUE PROFESSIONAL SERVICES, PC
111 CENTRAL AVE
NEWARK, NJ 071021909
9738775300
ST MARYS GENERAL MEDICAL GROUP PC
350 BOULEVARD
PASSAIC, NJ 070552840
9733654300
CENTRAL AVENUE PROFESSIONAL SERVICES, PC
350 BOULEVARD
PASSAIC, NJ 070552840
9733654800
Source: CMS National Downloadable File, September 2026.