Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1990
Also: SPORTS MEDICINE
NPI: 1972678027
Practice Locations (1)
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC
201 TOMLIN STATION RD C
MULLICA HILL, NJ 080621612
8566901616
Source: CMS National Downloadable File, September 2026.