Graduated: 2018
NPI: 1043776131
Practice Locations (3)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
650 FROM RD
PARAMUS, NJ 076523517
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
650 FROM RD
PARAMUS, NJ 076523551
Source: CMS National Downloadable File, September 2026.