Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1124049812
Practice Locations (1)
JEFFERSON UNIVERSITY PHYSICIANS
833 CHESTNUT ST, EAST 2ND FLR SUITE 220
PHILADELPHIA, PA 191075102
2159558465
Source: CMS National Downloadable File, September 2026.