Graduated: 2018
NPI: 1710457452
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
7650 RIVER RD
NORTH BERGEN, NJ 070476527
Source: CMS National Downloadable File, September 2026.