Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1995
NPI: 1992793756
Practice Locations (3)
TIDALHEALTH PHYSICIAN NETWORK, INC.
SEAFORD, DE 19973
30262966118802
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
VHS PHYSICIANS OF MICHIGAN
3990 JOHN R ST
DETROIT, MI 482012018
3137458040
Source: CMS National Downloadable File, September 2026.