Graduated: 2018
NPI: 1982154928
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CTR BLVD
PHILADELPHIA, PA 191045127
UNIVERSITY OF PENN-MEDICAL GROUP
501 S 54TH ST
PHILADELPHIA, PA 191431900
2156150063
Source: CMS National Downloadable File, September 2026.