Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1994
Offers telehealth
NPI: 1609899210
Practice Locations (3)
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
3624 MARKET ST, SUITE 560W
PHILADELPHIA, PA 191042617
3624 MARKET ST, SUITE 560W
PHILADELPHIA, PA 191042680
Source: CMS National Downloadable File, September 2026.