Graduated: 2016
NPI: 1043889983
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157073008
TEMPLE PHYSICIANS INC
7600 CENTRAL AVE
PHILADELPHIA, PA 191112499
2157282000
Source: CMS National Downloadable File, September 2026.