Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1991
NPI: 1003852013
Practice Locations (2)
MYDOC URGENT CARE
1501 N BROAD STREET UNIT, 10 MYDOC URGENT CARE TEMPLE U
PHILADELPHIA, PA 191223319
2674575553
SUBURBAN MEDICAL GROUP LLC
5735 RIDGE AVE, SUITE 106
PHILADELPHIA, PA 191281746
2154871887
Source: CMS National Downloadable File, September 2026.