Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 2000
NPI: 1972582708
Practice Locations (2)
PREMIER MEDICAL OF NJ
999 CLIFTON AVE, SUITE 1
CLIFTON, NJ 070132711
8775440002
OPTUM MEDICAL CARE OF NEW JERSEY PC
324 PALISADE AVE, FL 2
JERSEY CITY, NJ 073071791
2013861400
Source: CMS National Downloadable File, September 2026.