Graduated: 1974
NPI: 1568581254
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157075030
WILLS EYE OPHTHALMOLOGY CLINIC, INC
840 WALNUT ST
PHILADELPHIA, PA 191075109
2159283041
Source: CMS National Downloadable File, September 2026.