Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2012
NPI: 1972861318
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC
516 LAWRIE ST, SUITE 1
PERTH AMBOY, NJ 088613046
7328977944
Source: CMS National Downloadable File, September 2026.