Graduated: 2015
Offers telehealth
NPI: 1861962573
Practice Locations (3)
18 -20 LACKAWANNA PLZ
MONTCLAIR, NJ 070423642
9739436901
51 WALNUT ST
MONTCLAIR, NJ 070424913
9739436901
51 WALNUT ST APT, SUITE 1
MONTCLAIR, NJ 070424913
Source: CMS National Downloadable File, September 2026.