Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2019
NPI: 1558823237
Practice Locations (2)
SUMMIT MEDICAL GROUP PA
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 079222104
9082734300
CITY MEDICAL OF UPPER EAST SIDE PLLC
336 E 86TH ST
NEW YORK, NY 100284615
2127723627
Source: CMS National Downloadable File, September 2026.