Graduated: 2013
NPI: 1235564576
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
650 FROM RD
PARAMUS, NJ 076523551
Source: CMS National Downloadable File, September 2026.