Graduated: 2001
NPI: 1700034766
Practice Locations (2)
JEFFERSON UNIVERSITY PHYSICIANS
1100 WALNUT ST, MOB 5TH FLOOR
PHILADELPHIA, PA 191075563
2159556750
MAIN LINE HEALTHCARE
100 E LANCASTER AVE
WYNEWOOD, PA 190963450
6106421908
Source: CMS National Downloadable File, September 2026.