Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1981
NPI: 1164535423
Practice Locations (3)
1849 ROUTE 209
BRODHEADSVILLE, PA 183220040
1849 RTE, SUITE 209
BRODHEADSVILLE, PA 183220040
5709925500
40 PO BOX
BRODHEADSVILLE, PA 18322
Source: CMS National Downloadable File, September 2026.