Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1994
NPI: 1659387264
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
185 ROUTE 36, SUITE 130
WEST LONG BRANCH, NJ 077641339
8483002210
Source: CMS National Downloadable File, September 2026.