Graduated: 2001
NPI: 1770569311
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
1077 RYDAL RD
MEADOWBROOK, PA 190461712
2157073663
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
Source: CMS National Downloadable File, September 2026.