Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1979
Also: GENERAL PRACTICE
NPI: 1629187836
Practice Locations (2)
JEFFERSON ACUTE CARE PHYSICIANS PC
2451 GRANT AVE
PHILADELPHIA, PA 191141031
2159343471
JEFFERSON ACUTE CARE PHYSICIANS PC
2607 RHAWN ST
PHILADELPHIA, PA 191523038
2153330304
Source: CMS National Downloadable File, September 2026.