Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1982
NPI: 1699826891
Practice Locations (2)
J C BLAIR MEMORIAL HOSPITAL
1225 WARM SPRINGS AVE
HUNTINGDON, PA 166522350
8146432290
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157073008
Source: CMS National Downloadable File, September 2026.