Graduated: 1996
NPI: 1992065387
Practice Locations (3)
850 TOWBIN AVE
LAKEWOOD, NJ 087015928
1907 PARK AVE, SUITE 102
SOUTH PLAINFIELD, NJ 070805530
1907 PARK AVE, SUITE 102
SOUTH PLAINFIELD, NJ 070805585
Source: CMS National Downloadable File, September 2026.