Graduated: 2012
NPI: 1073866760
Practice Locations (5)
CITY OF PHILADELPHIA
131 E CHELTEN AVE
PHILADELPHIA, PA 191442153
2156855747
CITY OF PHILADELPHIA
131 E CHELTEN AVE, HEALTH CARE CTR 9
PHILADELPHIA, PA 191442153
2156855747
CITY OF PHILADELPHIA
1930 S BROAD ST
PHILADELPHIA, PA 191452328
2156851810
CITY OF PHILADELPHIA
321 W GIRARD AVE
PHILADELPHIA, PA 191231531
2156853808
CITY OF PHILADELPHIA
321 W GIRARD AVE, HEALTH CARE CTR 6
PHILADELPHIA, PA 191231531
2156853808
Source: CMS National Downloadable File, September 2026.