Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1285609768
Practice Locations (1)
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC
351 EDWIN DR, SUITE 102
VIRGINIA BEACH, VA 234624559
8044995550
Source: CMS National Downloadable File, September 2026.