Graduated: 2013
NPI: 1568898989
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CTR BLVD
PHILADELPHIA, PA 191045127
2153498222
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2156624000
Source: CMS National Downloadable File, September 2026.