Graduated: 2005
NPI: 1538723762
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2156627355
UNIVERSITY OF PENN-MEDICAL GROUP
51 N 39TH STRET, HOSPITAL MED PRESBY
PHILADELPHIA, PA 191042640
2156629990
Source: CMS National Downloadable File, September 2026.