Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1985
NPI: 1497851836
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
985 CEDAR BRIDGE AVE
BRICK, NJ 087234167
7324775600
Source: CMS National Downloadable File, September 2026.