Graduated: 2007
NPI: 1851565964
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
1140 ROUTE 72 W
MANAHAWKIN, NJ 080502412
6095976011
Source: CMS National Downloadable File, September 2026.