Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1396703906
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
20 PROSPECT AVE, SUITE 406
HACKENSACK, NJ 076011941
5519962608
Source: CMS National Downloadable File, September 2026.