Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1990
NPI: 1326198664
Practice Locations (2)
GEISINGER CLINIC
100 N ACADEMY AVE
DANVILLE, PA 178229800
5702716144
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157073008
Source: CMS National Downloadable File, September 2026.