Graduated: 2008
NPI: 1588891840
Practice Locations (2)
MGM KETAMINE SERVICES LLC
690 KINDERKAMACK RD, SUITE 103
ORADELL, NJ 076491524
2014833760
EMERGENCY PHYSICIAN SERVICES OF NEW JERSEY,PROFESSIONAL ASSOCIATION
718 TEANECK RD
TEANECK, NJ 076664245
2018333000
Source: CMS National Downloadable File, September 2026.