Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1760694038
Practice Locations (1)
RANDOLPH DERMATOLOGY AND MOHS MICROGRAPHIC SURGERY LLC
390 STATE ROUTE 10, SUITE 201
RANDOLPH, NJ 078692141
9733666303
Source: CMS National Downloadable File, September 2026.