Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1980
Offers telehealth
NPI: 1255668125
Practice Locations (4)
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC
940 N NEW ST, SUITE 140
BETHLEHEM, PA 180182756
4848931482
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC
1020 W LACKAWANNA AVE
SCRANTON, PA 185042052
4135842173
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC
100 N WILKES BARRE BLVD, SUITE 103
WILKES BARRE, PA 187025240
4135842173
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC
131 W EDWIN ST
WILLIAMSPORT, PA 177016131
5705058331
Source: CMS National Downloadable File, September 2026.