Graduated: 2025
NPI: 1508757964
Practice Locations (4)
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
UNIVERSITY OF PENN-MEDICAL GROUP
51 N 39TH ST
PHILADELPHIA, PA 191042640
UNIVERSITY OF PENN-MEDICAL GROUP
51 N 39TH STREET, GI SURGERY PPMC
PHILADELPHIA, PA 191042640
2156629198
Source: CMS National Downloadable File, September 2026.