Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2013
NPI: 1831504588
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
65 JAMES ST, LOT G
EDISON, NJ 088203947
7323217487
Source: CMS National Downloadable File, September 2026.