Graduated: 2004
NPI: 1285230474
Practice Locations (2)
BERGEN COUNTY IMPROVEMENT AUTHORITY
230 E RIDGEWOOD AVE
PARAMUS, NJ 076524142
2019674000
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
400 FRANK W BURR BLVD, 22 HMHMG SPECIALTY CARE
TEANECK, NJ 076666700
2014616200
Source: CMS National Downloadable File, September 2026.