Graduated: 2001
NPI: 1376815373
Practice Locations (3)
1 UNIVERSITY PLZ, SUITE 618
HACKENSACK, NJ 076016212
1 UNIVERSITY PLZ, SUITE 618
HACKENSACK, NJ 076016236
2017410629
46 MONTROSS AVE
RUTHERFORD, NJ 070701108
Source: CMS National Downloadable File, September 2026.