Graduated: 2020
NPI: 1811586910
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
225 MINNISINK RD
TOTOWA, NJ 075121804
5519968778
Source: CMS National Downloadable File, September 2026.