Medical school: MEDICAL COLLEGE OF PENNSYLVANIA
Graduated: 1997
NPI: 1821070848
Practice Locations (4)
PO BOX
PHILADELPHIA, PA 19178
PO BOX
PHILADELPHIA, PA 191787642
PO BOX 8500 LOCKBOX, SUITE 7642
PHILADELPHIA, PA 19178
PO BOX 8500 LOCKBOX, SUITE 7642
PHILADELPHIA, PA 191787642
Source: CMS National Downloadable File, September 2026.