Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1780614883
Practice Locations (2)
PENNA ORAL AND MAXILLOFACIAL SURGERY
26 S BRYN MAWR AVE
BRYN MAWR, PA 190103201
6105273112
PENNA ORAL AND MAXILLOFACIAL SURGERY
1601 WALNUT ST, SUITE 215
PHILADELPHIA, PA 191022902
2155577949
Source: CMS National Downloadable File, September 2026.