Graduated: 2022
NPI: 1427781301
Practice Locations (3)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044206
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE STREET 5 WHITE BLDG, ORAL AND MAXILLOFACIAL SURGERY HUP
PHILADELPHIA, PA 191044206
2158296079
SUSQUEHANNA PHYSICIAN SERVICES
700 HIGH ST
WILLIAMSPORT, PA 177013100
5703212000
Source: CMS National Downloadable File, September 2026.