Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1942218623
Practice Locations (2)
177 N DEAN ST, SUITE 208
ENGLEWOOD, NJ 076312522
2015690200
ENGLEWOOD SURGICAL SERVICES, LLC
40 ENGLE ST
ENGLEWOOD, NJ 076312905
2015670522
Source: CMS National Downloadable File, September 2026.