Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1995
NPI: 1538267968
Practice Locations (1)
LAKEWOOD RESOURCE AND REFERRAL CENTER INC
1771 MADISON AVE
LAKEWOOD, NJ 087011251
Source: CMS National Downloadable File, September 2026.