Graduated: 2017
NPI: 1013423441
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2156623251
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST, FL 3
PHILADELPHIA, PA 191044229
2156623202
Source: CMS National Downloadable File, September 2026.