Graduated: 2012
NPI: 1457017816
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
727 N BEERS ST
HOLMDEL, NJ 077331514
7327142700
Source: CMS National Downloadable File, September 2026.