Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1952333718
Practice Locations (3)
TEMPLE FACULTY PRACTICE PLAN INC
8835 GERMANTOWN AVE
PHILA, PA 191182718
2157072098
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
TEMPLE FACULTY PRACTICE PLAN INC
8811 GERMANTOWN AVE
PHILADELPHIA, PA 191182718
2157072098
Source: CMS National Downloadable File, September 2026.