Graduated: 2021
NPI: 1003499823
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2153498310
GEISINGER CLINIC
1800 MULBERRY ST
SCRANTON, PA 185102369
5709697355
Source: CMS National Downloadable File, September 2026.