Graduated: 1982
NPI: 1902973589
Practice Locations (4)
129 NEWARK AVE
JERSEY CITY, NJ 073022811
2018609500
415 43RD ST
UNION CITY, NJ 070875009
2018679002
P O BOX, SUITE 4456
UNION CITY, NJ 070875009
77 MAIN ST, SUITE 1
WEST ORANGE, NJ 070525418
9736691727
Source: CMS National Downloadable File, September 2026.