Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2002
NPI: 1205006988
Practice Locations (1)
LEHIGH VALLEY PHYSICIAN GROUP
1243 S CEDAR CREST BLVD, 301 LVPG PLASTIC AND RECONSTRUCTIVE SURGERY
ALLENTOWN, PA 181036365
6104024375
Source: CMS National Downloadable File, September 2026.