Graduated: 2013
NPI: 1700294535
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519965045
PRACTICE ASSOCIATES MEDICAL GROUP
99 BEAUVOIR AVE
SUMMIT, NJ 079023533
9085222000
Source: CMS National Downloadable File, September 2026.