Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2019
NPI: 1013578665
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 076011962
2014874088
Source: CMS National Downloadable File, September 2026.