Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1997
NPI: 1124136007
Practice Locations (2)
CITY OF PHILADELPHIA
2840 W DAUPHIN ST
PHILADELPHIA, PA 191324627
2156852411
CITY OF PHILADELPHIA
4400 HAVERFORD AVE
PHILADELPHIA, PA 191041361
2156857630
Source: CMS National Downloadable File, September 2026.