Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2009
NPI: 1568797553
Practice Locations (1)
OPTUM MEDICAL CARE OF NEW JERSEY PC
506 BROADWAY
BAYONNE, NJ 070023712
2014717012
Source: CMS National Downloadable File, September 2026.