Graduated: 2017
NPI: 1922510148
Practice Locations (2)
JERSEY IRISH MEDICAL
400 WESTFIELD AVE
ELIZABETH, NJ 072081621
7324693627
BERGEN COUNTY IMPROVEMENT AUTHORITY
230 E RIDGEWOOD AVE
PARAMUS, NJ 076524142
2019674000
Source: CMS National Downloadable File, September 2026.