Graduated: 2016
NPI: 1144431552
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157073008
ROPER SAINT FRANCIS PHYSICIANS NETWORK
125 DOUGHTY ST, SUITE 280
CHARLESTON, SC 294035727
8438848045
Source: CMS National Downloadable File, September 2026.