Graduated: 2013
NPI: 1871921643
Practice Locations (2)
UNIVERSITY HOSPITAL
150 BERGEN ST, RM M 219
NEWARK, NJ 071032496
9739724112
PRACTICE ASSOCIATES MEDICAL GROUP
99 BEAUVOIR AVE
SUMMIT, NJ 079023533
9085222000
Source: CMS National Downloadable File, September 2026.