Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 2010
NPI: 1003132853
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519965045
Source: CMS National Downloadable File, September 2026.