Graduated: 2016
NPI: 1962936336
Practice Locations (2)
EASTERN PENNSYLVANIA PHYSICIAN ALLIANCE, LLC
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 191242343
2158314600
EASTERN PENNSYLVANIA PHYSICIAN ALLIANCE, LLC
561 FAIRTHORNE AVE
PHILADELPHIA, PA 191282412
2154874000
Source: CMS National Downloadable File, September 2026.