Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1982
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1760671416
Practice Locations (2)
SOVEREIGN MEDICAL GROUP LLC
15 -01 BROADWAY RT 4, SUITE 3
FAIRLAWN, NJ 074106006
2017914544
SOVEREIGN MEDICAL GROUP LLC
15-01 BROADWAY ROUTE 4 W, SUITE 1
FAIRLAWN, NJ 074106006
2017914544
Source: CMS National Downloadable File, September 2026.