Graduated: 1995
NPI: 1639258213
Practice Locations (3)
362 CEDAR LANE, SUITE 1A
TEANECK, NJ 076663447
57 CEDAR LANE, SECOND FLOOR
TEANECK, NJ 076664444
57 CEDAR LN, SUITE 2
TEANECK, NJ 076664444
2013901699
Source: CMS National Downloadable File, September 2026.