Graduated: 2006
NPI: 1417111493
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
985 CEDAR BRIDGE AVE
BRICK, NJ 087234167
7324775600
PLOVER INPATIENT SERVICES LLC
1 BAY AVE
MONTCLAIR, NJ 070424837
9734296000
Source: CMS National Downloadable File, September 2026.