Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1710926514
Practice Locations (2)
MAIN LINE HEALTHCARE
830 OLD LANCASTER RD
BRYN MAWR, PA 190103118
MAIN LINE HEALTHCARE
100 E LANCASTER AVE
WYNEWOOD, PA 190963450
Source: CMS National Downloadable File, September 2026.