Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2003
NPI: 1083857858
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519965045
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC
19 DAVIS AVE
NEPTUNE, NJ 077534488
7327764551
Source: CMS National Downloadable File, September 2026.