Graduated: 1988
NPI: 1629095237
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
1945 ROUTE 33, K HAVNANIAN CHILDRENS HOSPITAL
NEPTUNE, NJ 07753
7324133626
HOLY NAME ANESTHESIA PARTNERS
718 TEANECK RD
TEANECK, NJ 076664245
2018332300
Source: CMS National Downloadable File, September 2026.