Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2020
NPI: 1528795465
Practice Locations (2)
GREATER PHILADELPHIA HEALTH ACTION INC
432 N 6TH ST
PHILADELPHIA, PA 191234004
21562780001061
GREATER PHILADELPHIA HEALTH ACTION INC
4510 FRANKFORD AVE
PHILADELPHIA, PA 191243602
2157441302
Source: CMS National Downloadable File, September 2026.