Graduated: 2020
NPI: 1780294199
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2153498310
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE RD
READING, PA 196059453
6103782000
Source: CMS National Downloadable File, September 2026.