Graduated: 1999
NPI: 1407872914
Practice Locations (2)
OPTUM MEDICAL CARE OF NEW JERSEY PC
506 BROADWAY
BAYONNE, NJ 070023712
2014717012
OPTUM MEDICAL CARE PC
90 S BEDFORD RD
MOUNT KISCO, NY 105493412
9142411050
Source: CMS National Downloadable File, September 2026.