Graduated: 2009
NPI: 1598390858
Practice Locations (3)
2115 MILLBURN AVE, SUITE 100
MAPLEWOOD, NJ 070403714
603 ELIZABETH AVE, APT 2B
NEWARK, NJ 071122429
603 ELIZABETH AVE APT, 2B
NEWARK, NJ 071122429
Source: CMS National Downloadable File, September 2026.