Graduated: 2000
NPI: 1962527424
Practice Locations (3)
6 CORNWALL CT, SUITE E
EAST BRUNSWICK, NJ 088163347
7325980914
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
1 HOSPITAL PLZ
OLD BRIDGE, NJ 088573012
7323245073
Source: CMS National Downloadable File, September 2026.