Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2014
NPI: 1033520929
Practice Locations (2)
CITY OF PHILADELPHIA
1900 N 20TH ST, HEALTH CARE CTR 5
PHILADELPHIA, PA 191212217
2156852973
CITY OF PHILADELPHIA
2230 COTTMAN AVE
PHILADELPHIA, PA 191491230
2156850602
Source: CMS National Downloadable File, September 2026.