Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2003
NPI: 1013165935
Practice Locations (1)
CHILDRENS HEALTH CARE ASSOCIATES INC
3401 CIVIC CTR BLVD
PHILADELPHIA, PA 191044319
2155901000
Source: CMS National Downloadable File, September 2026.