Graduated: 2019
NPI: 1821557166
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2156624000
UNIVERSITY OF PENN-MEDICAL GROUP
800 WALNUT ST
PHILADELPHIA, PA 191075176
2156624333
Source: CMS National Downloadable File, September 2026.