Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1811987928
Practice Locations (2)
7600 RIVER RD
NORTH BERGEN, NJ 070476217
2018645400
9245 KENNEDY BLVD
NORTH BERGEN, NJ 070475322
2018636844
Source: CMS National Downloadable File, September 2026.