Graduated: 2022
NPI: 1649993452
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
515 PENNSYLVANIA AVE
FORT WASHINGTON, PA 190343314
2157073663
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
Source: CMS National Downloadable File, September 2026.