Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1975
NPI: 1184618522
Practice Locations (2)
1230 S CEDAR CREST BLVD, SUITE 306
Allentown, PA 181036212
1230 S CEDAR CREST BLVD
ALLENTOWN, PA 181036212
6104357555
Source: CMS National Downloadable File, September 2026.