Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1994
NPI: 1386705127
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
26 THROCKMORTON LN
OLD BRIDGE, NJ 088572578
7326799950
Source: CMS National Downloadable File, September 2026.