Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1972
Offers telehealth
NPI: 1215932876
Practice Locations (2)
1900 RITTENHOUSE SQ
PHILADELPHIA, PA 191036040
2157352783
1900 RITTENHOUSE SQ, C4
PHILADELPHIA, PA 191035767
Source: CMS National Downloadable File, September 2026.