Graduated: 1976
Also: INTERNAL MEDICINE
NPI: 1679597280
Practice Locations (2)
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
59 KOCH AVE
MORRIS PLAINS, NJ 079504400
9735381800
CENTRAL AVENUE PROFESSIONAL SERVICES, PC
111 CENTRAL AVE
NEWARK, NJ 071021909
9738775300
Source: CMS National Downloadable File, September 2026.