Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2001
NPI: 1013936491
Practice Locations (1)
TEMPLE FACULTY PRACTICE PLAN INC
1316 W ONTARIO ST
PHILADELPHIA, PA 191405220
2157072400
Source: CMS National Downloadable File, September 2026.