Graduated: 1996
NPI: 1598780165
Practice Locations (3)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2156622737
822 PINE ST
PHILADELPHIA, PA 191076187
PENNSYLVANIA CENTRE FOR DERMATOLOGY, LLC
822 PINE ST
PHILADELPHIA, PA 191076187
2675190154
Source: CMS National Downloadable File, September 2026.