Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1974
NPI: 1700940954
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
19 DAVIS AVE
NEPTUNE, NJ 077534488
Source: CMS National Downloadable File, September 2026.