Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2003
NPI: 1689734154
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
7650 RIVER RD, SUITE 300
NORTH BERGEN, NJ 070476527
2012248831
Source: CMS National Downloadable File, September 2026.