Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1861408155
Practice Locations (3)
CITY OF PHILADELPHIA
1930 S BROAD ST
PHILADELPHIA, PA 191452328
2156851810
CITY OF PHILADELPHIA
321 W GIRARD AVE, HEALTH CARE CTR 6
PHILADELPHIA, PA 191231531
2156853808
CITY OF PHILADELPHIA
555 S 43 ST
PHILADELPHIA, PA 191044408
2156857522
Source: CMS National Downloadable File, September 2026.