Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1993
NPI: 1760451488
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
985 CEDAR BRIDGE AVE
BRICK, NJ 087234167
7324775600
Source: CMS National Downloadable File, September 2026.