Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2017
NPI: 1700318136
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
65 JAMES ST
EDISON, NJ 088203947
7323217189
Source: CMS National Downloadable File, September 2026.