Graduated: 2020
NPI: 1053902809
Practice Locations (3)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
20 PROSPECT AVE
HACKENSACK, NJ 076011999
NEW JERSEY HEALTHCARE SPECIALISTS PC
30 PROSPECT AVE
HACKENSACK, NJ 076011914
2014880066
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
Source: CMS National Downloadable File, September 2026.