Graduated: 1988
Also: INTERNAL MEDICINE
NPI: 1780672188
Practice Locations (2)
OPTUM MEDICAL CARE OF NEW JERSEY PC
506 BROADWAY
BAYONNE, NJ 070023712
2014717012
OPTUM MEDICAL CARE OF NEW JERSEY PC
935 RIVER RD, SUITE 301
EDGEWATER, NJ 070202233
2014717012
Source: CMS National Downloadable File, September 2026.