Graduated: 1982
NPI: 1972777894
Practice Locations (2)
OPTUM MEDICAL CARE OF NEW JERSEY PC
506 BROADWAY
BAYONNE, NJ 070023712
2014717012
LIVINGSTON PATHOLOGY ASSOCIATES, LLC
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 070395672
9733225763
Source: CMS National Downloadable File, September 2026.