Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated: 2004
NPI: 1821112079
Practice Locations (1)
571 CENTRAL AVE, SUITE 106
NEW PROVIDENCE, NJ 079741547
9087909000
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated: 2004
NPI: 1821112079
571 CENTRAL AVE, SUITE 106
NEW PROVIDENCE, NJ 079741547
9087909000
Source: CMS National Downloadable File, September 2026.