Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1986
NPI: 1801828553
Practice Locations (1)
OUCH, PA
105 SOUTHPARK BLVD, SUITE C300
SAINT AUGUSTINE, FL 320864162
9048087246
Source: CMS National Downloadable File, September 2026.