Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1982
NPI: 1821018532
Practice Locations (2)
MAIN LINE HEALTHCARE
255 W LANCASTER AVE, SUITE 331 PAOLI MOB III
PAOLI, PA 193011608
6103253880
JEFFERSON UNIVERSITY PHYSICIANS
1100 WALNUT ST, MOB 5TH FLOOR
PHILADELPHIA, PA 191075563
2159556750
Source: CMS National Downloadable File, September 2026.