Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1104869031
Practice Locations (1)
PENN STATE HEALTH MEDICAL GROUP LLC
116 B W AIRPORT RD, PENN STATE MED GRP KISSEL HILL
LITITZ, PA 175439239
7175819000
Source: CMS National Downloadable File, September 2026.