Graduated: 2010
NPI: 1033431960
Practice Locations (3)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
20 PROSPECT AVE
HACKENSACK, NJ 076011997
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
ST MARYS GENERAL MEDICAL GROUP PC
350 BOULEVARD
PASSAIC, NJ 070552840
9733654300
Source: CMS National Downloadable File, September 2026.