Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1988
Also: GERIATRIC PSYCHIATRY
NPI: 1750421962
Practice Locations (1)
EASTERN PENNSYLVANIA PHYSICIAN ALLIANCE, LLC
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 191242343
2158314600
Source: CMS National Downloadable File, September 2026.