Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2025
NPI: 1891678892
Practice Locations (2)
173 BRIDGE PLZ N
FORT LEE, NJ 070247575
56 AVE H
MONROE TOWNSHIP, NJ 08831
Source: CMS National Downloadable File, September 2026.