Graduated: 1975
Offers telehealth
NPI: 1720061070
Practice Locations (3)
3000 KENNEDY BLVD, SUITE 308
JERSEY CITY, NJ 073063817
2019630800
8329 PO BOX
JERSEY CITY, NJ 07308
PO BOX, SUITE 8329
JERSEY CITY, NJ 073088329
Source: CMS National Downloadable File, September 2026.