Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1205408234
Practice Locations (2)
MAIN LINE HEALTHCARE
130 S BRYN MAWR AVE
BRYN MAWR, PA 190103121
4843373000
TEMPLE FACULTY PRACTICE PLAN INC
8815 GERMANTOWN AVE
PHILADELPHIA, PA 191182722
2157073008
Source: CMS National Downloadable File, September 2026.