Graduated: 1982
NPI: 1811982648
Practice Locations (2)
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
59 KOCH AVE
MORRIS PLAINS, NJ 079504400
9735381800
INHOSPITAL PHYSICIANS CORP OF NEW JERSEY, PC
350 BOULEVARD
PASSAIC, NJ 070552840
9733654300
Source: CMS National Downloadable File, September 2026.