Graduated: 2021
NPI: 1083286629
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
972 STATE ROUTE 36
HAZLET, NJ 077301700
7328473600
Source: CMS National Downloadable File, September 2026.