Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 2003
NPI: 1548420136
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC
516 LAWRIE ST, SUITE 1
PERTH AMBOY, NJ 088613046
7328977944
Source: CMS National Downloadable File, September 2026.