Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1992
NPI: 1760443030
Practice Locations (2)
694 STATE ROUTE 15 S, SUITE 103
LAKE HOPATCONG, NJ 078492249
694 RT 15, SUITE 103
LK. HOPATCONG, NJ 078492249
Source: CMS National Downloadable File, September 2026.