Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1991
NPI: 1356392088
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
211 ESSEX ST, 306 HMHMG SPECIALTY CARE
HACKENSACK, NJ 076013245
2013432050
Source: CMS National Downloadable File, September 2026.