Graduated: 2021
NPI: 1285493205
Practice Locations (2)
MINUTECLINIC DIAGNOSTIC OF PENNSYLVANIA LLC
5001 TOWNSHIP LINE RD
DREXEL HILL, PA 190264821
8663892727
TEMPLE FACULTY PRACTICE PLAN INC
3322 N BROAD ST
PHILADELPHIA, PA 191405185
2107071800
Source: CMS National Downloadable File, September 2026.