Graduated: 2000
NPI: 1598069593
Practice Locations (3)
1077 RIVER RD, SUITE 610
FORT LEE, NJ 070242934
1156 A INWOOD TERRACE
FORT LEE, NJ 070242934
2041 EDWIN AVE
FORT LEE, NJ 070242934
9176263300
Source: CMS National Downloadable File, September 2026.