Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1990
NPI: 1710964770
Practice Locations (1)
PROFESSIONAL ORTHOPAEDIC ASSOC PA
776 SHREWSBURY AVE, SUITE 201
TINTON FALLS, NJ 077244507
7325304949240
Source: CMS National Downloadable File, September 2026.