Medical school: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated: 1976
NPI: 1972544161
Practice Locations (4)
3 ENTERPRISE DR
SHELTON, CT 064847620
8937 EASTMAN DR
TAMPA, FL 336262941
161 MILLBURN AVE
MILLBURN, NJ 070411825
150 FLORAL AVE
NEW PROVIDENCE, NJ 079741557
Source: CMS National Downloadable File, September 2026.