Graduated: 1988
NPI: 1104882646
Practice Locations (2)
AVELLINA INC.
2375 WOODWARD ST, SUITE 112N
PHILADELPHIA, PA 191155105
2156769223
DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANIA
2701 SOUTHAMPTON RD
PHILADELPHIA, PA 191541205
2158562714
Source: CMS National Downloadable File, September 2026.