Graduated: 1982
NPI: 1629023478
Practice Locations (3)
GHCP EKG INTERPRETATION PANEL, LLC
350 BOULEVARD
PASSAIC, NJ 070552840
9733654300
ST MARYS GENERAL MEDICAL GROUP PC
350 BOULEVARD
PASSAIC, NJ 070552840
9733654300
ST MARYS GENERAL MEDICAL GROUP PC
363 BOULEVARD
PASSAIC, NJ 070552804
9736141171
Source: CMS National Downloadable File, September 2026.