Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1976
NPI: 1265464697
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CTR BLVD
PHILADELPHIA, PA 191045127
2156626932
UNIVERSITY OF PENN-MEDICAL GROUP
501 S 54TH ST
PHILADELPHIA, PA 191431900
2156626932
Source: CMS National Downloadable File, September 2026.