Graduated: 1991
NPI: 1700945987
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
333 COTTMAN AVE
PHILADELPHIA, PA 191112434
8445701767
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
Source: CMS National Downloadable File, September 2026.