Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1994
NPI: 1760578025
Practice Locations (2)
908 OAK TREE AVE, SUITE H
SOUTH PLAINFIELD, NJ 070805100
9082221595
908 OAK TREE AVE H
SOUTH PLAINFIELD, NJ 070805100
Source: CMS National Downloadable File, September 2026.