Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1986
NPI: 1093711145
Practice Locations (1)
MON-VALE SPECIALTY PRACTICES, INC
1163 COUNTRY CLUB RD, SUITE 101
MONONGAHELA, PA 150631013
7242582229
Source: CMS National Downloadable File, September 2026.