Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1970
NPI: 1801892732
Practice Locations (2)
219 S BROAD ST, SUITE 3
ELIZABETH, NJ 072023453
219 S BROAD ST 3RD FLOOR
ELIZABETH, NJ 072023453
9085271717
Source: CMS National Downloadable File, September 2026.