Medical school: MARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2019
NPI: 1891257168
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519963547
Source: CMS National Downloadable File, September 2026.