Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2024
NPI: 1871308288
Practice Locations (2)
57 ROUTE 46, SUITE 212
HACKETTSTOWN, NJ 07840
57 US HWY 46, SUITE 212
HACKETTSTOWN, NJ 07840
Source: CMS National Downloadable File, September 2026.