Graduated: 2016
NPI: 1578004693
Practice Locations (3)
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
700 SPRUCE ST
PHILADELPHIA, PA 191064022
2158293468
Source: CMS National Downloadable File, September 2026.