Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1427094259
Practice Locations (2)
COVENANT HOUSE INC
251 E BRINGHURST ST
PHILADELPHIA, PA 191441719
COVENANT HOUSE INC
251 E BRINGHURST ST, COVENANT HOUSE HEALTH SERVICES
PHILADELPHIA, PA 191441719
2158441020
Source: CMS National Downloadable File, September 2026.