Graduated: 2017
NPI: 1851825681
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
20 PROSPECT AVE, SUITE 703
HACKENSACK, NJ 076011963
5519964424
MODERN PHYSICIAN SERVICES PC
6721 FRESH POND RD
RIDGEWOOD, NY 113854562
9294689920
Source: CMS National Downloadable File, September 2026.