Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 1993
NPI: 1922098664
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
385 PROSPECT AVE, SUITE 210
HACKENSACK, NJ 076012570
5519969160
Source: CMS National Downloadable File, September 2026.