Medical school: MEDICAL COLLEGE OF PENNSYLVANIA
Graduated: 1985
NPI: 1063469831
Practice Locations (4)
CITY OF PHILADELPHIA
1900 N 20TH ST
PHILADELPHIA, PA 191212217
2156852973
CITY OF PHILADELPHIA
1900 N 20TH ST, HEALTH CARE CTR 5
PHILADELPHIA, PA 191212217
2156852973
CITY OF PHILADELPHIA
1930 S BROAD ST
PHILADELPHIA, PA 191452328
2156851810
CITY OF PHILADELPHIA
2840 W DAUPHIN ST
PHILADELPHIA, PA 191324627
2156852411
Source: CMS National Downloadable File, September 2026.