Medical school: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2013
NPI: 1295171296
Practice Locations (4)
PO BOX
SAN DIEGO, CA 92193
15 GRUMMAN RD W, SUITE 1400
Bethpage, NY 117145029
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117145029
3401 N BROAD ST
PHILADELPHIA, PA 191405103
Source: CMS National Downloadable File, September 2026.