Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1998
NPI: 1912060344
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
502 CENTENNIAL BLVD
VOORHEES, NJ 080439544
8558271695
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157075030
Source: CMS National Downloadable File, September 2026.