Graduated: 1996
NPI: 1447812698
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
1 HOSPITAL PLZ
OLD BRIDGE, NJ 088573012
7323245073
Source: CMS National Downloadable File, September 2026.