Graduated: 2000
NPI: 1649338732
Practice Locations (4)
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
701 E MARSHALL ST
WEST CHESTER, PA 193804412
UNIVERSITY OF PENN-MEDICAL GROUP
701 E MARSHALL STREET 2ND FLOOR, CARDIAC SURGERY CHESTER COUNTY
WEST CHESTER, PA 193804412
6107382690
Source: CMS National Downloadable File, September 2026.