Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1988
NPI: 1699749242
Practice Locations (1)
RWJBH OBSERVATION ASSOCIATES LLC
99 HWY 37 W, COMMUNITY MEDICAL CENTER
TOMS RIVER, NJ 087556423
7325578000
Source: CMS National Downloadable File, September 2026.