Graduated: 2011
NPI: 1447524533
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
3509 N BROAD ST
PHILADELPHIA, PA 191404105
2157078484
ROXBOROUGH MEDICAL OF ANDORRA LLC
701 E CATHEDRAL RD, SUITE 11
PHILADELPHIA, PA 191282128
2677666321
Source: CMS National Downloadable File, September 2026.