Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
NPI: 1124141478
Practice Locations (2)
CENTER FOR DERMATOLOGY LASER AND COSMETIC SURGERY LLC
915 MONTGOMERY AVE, SUITE 204
PENN VALLEY, PA 190721550
6106644433
CENTER FOR DERMATOLOGY LASER AND COSMETIC SURGERY LLC
9892 BUSTLETON AVE, SUITE 204
PHILADELPHIA, PA 191152139
2156762464
Source: CMS National Downloadable File, September 2026.