Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1997
NPI: 1528053642
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
7650 RIVER RD, SUITE 300
NORTH BERGEN, NJ 070476527
2012248831
Source: CMS National Downloadable File, September 2026.