Graduated: 2020
NPI: 1689258766
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519965045
ST JOSEPHS MEDICAL GROUP PC
11 GETTY AVE, BLDG 275
PATERSON, NJ 075032806
9737542078
Source: CMS National Downloadable File, September 2026.