Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1986
NPI: 1093801128
Practice Locations (2)
1525 S BROAD ST
PHILADELPHIA, PA 191476206
2154637373
PENNSYLVANIA URGENT CARE CENTERS, PLLC
2848 W MORELAND RD
WILLOW GROVE, PA 190903051
2674955455
Source: CMS National Downloadable File, September 2026.