Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1985
NPI: 1497743694
Practice Locations (1)
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
834 CHESTNUT ST, SUITE G114
PHILADELPHIA, PA 191075114
2155213001
Source: CMS National Downloadable File, September 2026.