Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1104806314
Practice Locations (2)
SUSQUEHANNA PHYSICIAN SERVICES
740 HIGH ST, SUITE 2001
WILLIAMSPORT, PA 177013102
5703212800
PEACEHEALTH
2979 SQUALICUM PKWY, SUITE 101
BELLINGHAM, WA 982251813
3607566800
Source: CMS National Downloadable File, September 2026.