Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1851483010
Practice Locations (3)
110 ROOSEVELT BLVD, SUITE 2B
Marmora, NJ 082231403
110 ROOSEVELT BLVD
MARMORA, NJ 082231403
110 ROOSEVELT BLVD, SUITE 2B
MARMORA, NJ 082231446
6093902404
Source: CMS National Downloadable File, September 2026.