Registry details
Type
Individual
Primary specialty
Hospitalist
Enumerated
Jan 20, 2016
License(s)
285374 (NY), MD469618 (PA), 285374 (NY), MD469618 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2601 HOLME AVE | Philadelphia, PA 19152-2007 | 215-335-6562 |
| MAILING | 41 UNIVERSITY DR STE 106 | Newtown, PA 18940-1873 | 610-772-6889 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.