Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1976
Offers telehealth
NPI: 1427064583
Practice Locations (2)
ATLANTA ID GROUP PC
275 COLLIER RD NW, SUITE 450
ATLANTA, GA 303091748
4043518873
FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC
4805 S MOORLAND RD
NEW BERLIN, WI 531517401
2627987200
Source: CMS National Downloadable File, September 2026.