Graduated: 1997
NPI: 1942383260
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
610 FARM LN
DOYLESTOWN, PA 189014753
2157282754
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
Source: CMS National Downloadable File, September 2026.