Graduated: 2003
NPI: 1972737724
Practice Locations (4)
PRINCETON HOUSE PROVIDER GROUP LLC
905 HERRONTOWN RD
PRINCETON, NJ 085401901
6094973300
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.