Graduated: 2024
NPI: 1396563409
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
TEMPLE FACULTY PRACTICE PLAN INC
7600 CENTRAL AVE
PHILADELPHIA, PA 191112442
2157075864
Source: CMS National Downloadable File, September 2026.