Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1984
NPI: 1588677629
Practice Locations (2)
18 REDNECK AVE
LITTLE FERRY, NJ 076431382
2016413115
18 REDNECK AVE, SUITE 4
LITTLE FERRY, NJ 076431382
Source: CMS National Downloadable File, September 2026.