Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1986
Also: GERIATRIC MEDICINE
NPI: 1538108568
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
277 FOREST AVE, SUITE 200
PARAMUS, NJ 07652
2019860241
Source: CMS National Downloadable File, September 2026.