Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1245890524
Practice Locations (2)
225 E CITY AVE, SUITE 215
BALA CYNWYD, PA 190041704
3033195980
TEMPLE FACULTY PRACTICE PLAN INC
333 COTTMAN AVE
PHILADELPHIA, PA 191112434
2157072111
Source: CMS National Downloadable File, September 2026.