Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1982
NPI: 1063472694
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
1140 ROUTE 72 W
MANAHAWKIN, NJ 080502412
6095976011
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
1145 BEACON AVE, SUITE A
MANAHAWKIN, NJ 080502471
6095971991
Source: CMS National Downloadable File, September 2026.