Graduated: 2008
NPI: 1689819047
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CTR BLVD
PHILADELPHIA, PA 191045127
2156622300
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2156155858
Source: CMS National Downloadable File, September 2026.