Graduated: 2015
NPI: 1003203704
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519965045
VALLEY PHYSICIAN SERVICES PC
108 JACKSON ST, APT 6B
HOBOKEN, NJ 070306101
8008255391
Source: CMS National Downloadable File, September 2026.