Graduated: 1985
NPI: 1134272495
Practice Locations (3)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
1610 ROUTE 88
BRICK, NJ 087243018
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
19 DAVIS AVE
NEPTUNE, NJ 077534488
Source: CMS National Downloadable File, September 2026.