Graduated: 1986
NPI: 1740243120
Practice Locations (3)
SPORTSMED PT LLC
266 HARRISTOWN RD, SUITE 200
GLEN ROCK, NJ 074523354
2014457000
SPORTSMED PT LLC
211 BERDAN AVE
WAYNE, NJ 074703236
2012496930
SPORTSMED PT LLC
34 MAIN ST
WOODBRIDGE, NJ 070953303
8489994600
Source: CMS National Downloadable File, September 2026.