Graduated: 1987
NPI: 1417917717
Practice Locations (3)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
360 ESSEX ST, SUITE 401
HACKENSACK, NJ 076018566
5519961140
96 PKWY
ROCHELLE PARK, NJ 076624200
2012212351
96 PKWY, BLDG 1
ROCHELLE PARK, NJ 076624200
2012269600
Source: CMS National Downloadable File, September 2026.