Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 1987
NPI: 1497816136
Practice Locations (3)
490 B S LENOLA RD
MAPLE SHADE, NJ 080521618
490 S LENOLA RD, SUITE B
MAPLE SHADE, NJ 080521618
490 S LENOLA RD B
MAPLE SHADE, NJ 080521618
6097879875
Source: CMS National Downloadable File, September 2026.