Graduated: 2011
NPI: 1831506492
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157071407
GEISINGER CLINIC
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 187027906
5708085135
Source: CMS National Downloadable File, September 2026.