Graduated: 2018
NPI: 1205394954
Practice Locations (2)
SOMC MEDICAL GROUP PC
2125 ROUTE 88 E
BRICK, NJ 087243273
7328924548
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
1945 ROUTE 33
NEPTUNE, NJ 077534859
7327764945
Source: CMS National Downloadable File, September 2026.