Graduated: 2020
NPI: 1013683994
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
655 SHREWSBURY AVE, SUITE 201
SHREWSBURY, NJ 077024151
7322637903
Source: CMS National Downloadable File, September 2026.