Graduated: 2012
NPI: 1679735005
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
135 HWY 35
EATONTOWN, NJ 077241813
7328977944
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
Source: CMS National Downloadable File, September 2026.