Graduated: 2011
NPI: 1194096529
Practice Locations (2)
360 ANESTHESIA PLLC
575 N RIVER ST
WILKES BARRE, PA 187640999
5708298111
SUSQUEHANNA PHYSICIAN SERVICES
700 HIGH ST
WILLIAMSPORT, PA 177013100
5703211279
Source: CMS National Downloadable File, September 2026.