Graduated: 2006
NPI: 1881924801
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
1800 LOMBARD ST, SUITE 206
PHILADELPHIA, PA 191461414
2156152222
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2153498310
Source: CMS National Downloadable File, September 2026.