Graduated: 2019
NPI: 1679104400
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
1145 BEACON AVE, SUITE A
MANAHAWKIN, NJ 080502471
6095971991
601 WASHINGTON AVE, SUITE J1002
STAFFORD TWP, NJ 080502801
8884339360
Source: CMS National Downloadable File, September 2026.