Graduated: 2001
NPI: 1841381043
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519962000
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
300 PERRINE RD, SUITE 324
OLD BRIDGE, NJ 088573628
7327539890
Source: CMS National Downloadable File, September 2026.