Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1991
Also: GENERAL PRACTICE, INTERVENTIONAL PAIN MANAGEMENT, OSTEOPATHIC MANIPULATIVE MEDICINE, PAIN MANAGEMENT
NPI: 1215913868
Practice Locations (1)
EASTERN PENNSYLVANIA PHYSICIAN ALLIANCE, LLC
561 FAIRTHORNE AVE
PHILADELPHIA, PA 191282412
2154874000
Source: CMS National Downloadable File, September 2026.