Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2023
NPI: 1578415378
Practice Locations (2)
1000 S LENOLA RD
MAPLE SHADE, NJ 080521630
620 N 2ND ST, UNIT 3F
PHILADELPHIA, PA 191233083
Source: CMS National Downloadable File, September 2026.