Graduated: 2017
NPI: 1144705849
Practice Locations (4)
2 UNIVERSITY PLZ, SUITE 204
HACKENSACK, NJ 076016211
2 UNIVERSITY PLZ, SUITE 204
HACKENSACK, NJ 076016227
431 S FLYNN AVE, PO BOX 210
CALUMET, OK 73014
909 S MERIDIAN AVE, SUITE 250
OKLAHOMA CITY, OK 731081641
Source: CMS National Downloadable File, September 2026.