Graduated: 1989
NPI: 1487615050
Practice Locations (3)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
7600 RIVER RD
NORTH BERGEN, NJ 070476217
2018686755
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
7650 RIVER RD
NORTH BERGEN, NJ 070476527
Source: CMS National Downloadable File, September 2026.