Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1982
NPI: 1629065982
Practice Locations (3)
25 MAIN ST, ST 601
Hackensack, NJ 076017015
25 MAIN ST, SUITE 601
HACKENSACK, NJ 076017083
210 ROUTE US 9 S
MARMORA, NJ 082231200
Source: CMS National Downloadable File, September 2026.