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Doctors / PA
MAXILLOFACIAL SURGERY
Graduated: 2012
NPI: 1023244654
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE STREET 5 WHITE BLDG, ORAL AND MAXILLOFACIAL SURGERY HUP
PHILADELPHIA, PA 191044206
2158296079
Source: CMS National Downloadable File, September 2026.