Graduated: 2013
NPI: 1841519204
Practice Locations (2)
SEA HEALTH AND WELLNESS LLC
363 PROSPECT AVE, FL 3
HACKENSACK, NJ 076012505
5513634732
OPTUM MEDICAL CARE OF NEW JERSEY PC
74 OAK ST RIDGEWOOD
RIDGEWOOD, NJ 074502503
2013453688
Source: CMS National Downloadable File, September 2026.