Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1993
NPI: 1841384187
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
385 PROSPECT AVE, SUITE 210
HACKENSACK, NJ 076012570
5519969160
Source: CMS National Downloadable File, September 2026.