Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1235332263
Practice Locations (1)
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC
1020 W LACKAWANNA AVE
SCRANTON, PA 185042052
4135842173
Source: CMS National Downloadable File, September 2026.