Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2019
NPI: 1780219410
Practice Locations (2)
ENNOBLE HC NJ PC
2 UNIVERSITY PLZ, SUITE 204
HACKENSACK, NJ 076016211
9732411356
REVASCMEDPROFESSIONALS PC
2418 E YORK ST, REVAMP
PHILADELPHIA, PA 191253006
2675484216
Source: CMS National Downloadable File, September 2026.