Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1996
NPI: 1669422762
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519963547
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519965045
Source: CMS National Downloadable File, September 2026.