Graduated: 2017
NPI: 1063000313
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
1 RIVERVIEW PLZ
RED BANK, NJ 077011864
7322641132
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
1 RIVERVIEW PLZ, FL 2
RED BANK, NJ 077011864
7325768610
Source: CMS National Downloadable File, September 2026.