Graduated: 2010
NPI: 1740594829
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519963547
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519965045
Source: CMS National Downloadable File, September 2026.