Graduated: 1999
Also: FAMILY PRACTICE
NPI: 1558300145
Practice Locations (3)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
20 PROSPECT AVE
HACKENSACK, NJ 076011962
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
225 MINNISINK RD
TOTOWA, NJ 075121804
5519968778
Source: CMS National Downloadable File, September 2026.