Graduated: 1994
NPI: 1497883623
Practice Locations (2)
RWJBH OBSERVATION ASSOCIATES LLC
355 GRAND ST
JERSEY CITY, NJ 073024321
2019152000
ST MARYS GENERAL MEDICAL GROUP PC
350 BOULEVARD
PASSAIC, NJ 070552840
9733654300
Source: CMS National Downloadable File, September 2026.