Medical school: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated: 1986
Offers telehealth
NPI: 1083687172
Practice Locations (1)
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
10058 S MOUNTAIN RD
SOUTH MOUNTAIN, PA 172610900
7177493121
Source: CMS National Downloadable File, September 2026.