Medical school: RUTGERS SCHOOL OF DENTAL MEDICINE
Graduated: 1988
NPI: 1821105198
Practice Locations (2)
1812 LONG BEACH BLVD
SHIP BOTTOM, NJ 080084443
60949423231
ISLAND MEDICAL PROFESSIONAL ASSOCIATION
1812 LONG BEACH BLVD
SHIP BOTTOM, NJ 080084443
6094942323
Source: CMS National Downloadable File, September 2026.