Graduated: 1999
NPI: 1851446272
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
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 088613654
8483091436
Source: CMS National Downloadable File, September 2026.