Graduated: 2020
NPI: 1740860170
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CTR BLVD
PHILADELPHIA, PA 191045127
2156155858
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST 210 WHITE BLDG, RENAL ELECTROLYTE HUP
PHILADELPHIA, PA 191044228
2156622638
Source: CMS National Downloadable File, September 2026.