Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2007
NPI: 1881856003
Practice Locations (2)
CITY OF PHILADELPHIA
1900 N 20TH ST, HEALTH CARE CTR 5
PHILADELPHIA, PA 191212217
2156852973
CITY OF PHILADELPHIA
4400 HAVERFORD AVE
PHILADELPHIA, PA 191041361
2156857630
Source: CMS National Downloadable File, September 2026.