Graduated: 2000
NPI: 1588692909
Practice Locations (3)
LIFELINE MEDICAL ASSOCIATES LLC
16 POCONO RD
DENVILLE, NJ 078342901
9737843935
LIFELINE MEDICAL ASSOCIATES LLC
16 POCONO RD, SUITE 309
DENVILLE, NJ 078342908
9739837695
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
59 KOCH AVE
MORRIS PLAINS, NJ 079504400
9735381800
Source: CMS National Downloadable File, September 2026.