Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1981
NPI: 1083602189
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
1316 W ONTARIO ST
PHILADELPHIA, PA 191405220
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
Source: CMS National Downloadable File, September 2026.