Graduated: 2021
NPI: 1417548652
Practice Locations (4)
90 WASHINGTON ST
East Orange, NJ 070171050
90 WASHINGTON ST
EAST ORANGE, NJ 070171050
9733045180
95 GRANT PL
IRVINGTON, NJ 071111441
95 GRANT PL, FL 2
IRVINGTON, NJ 071111441
Source: CMS National Downloadable File, September 2026.