Graduated: 1989
NPI: 1972823144
Practice Locations (2)
TEMPLE FACULTY PRACTICE PLAN INC
1331 E WYOMING AVE
PHILADELPHIA, PA 191243808
2157072098
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
Source: CMS National Downloadable File, September 2026.