Graduated: 2018
NPI: 1972088292
Practice Locations (2)
JEFFERSON UNIVERSITY PHYSICIANS
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 191075002
2159556844
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157073008
Source: CMS National Downloadable File, September 2026.