Graduated: 1982
NPI: 1275628620
Practice Locations (3)
365 DELAWARE RD
RIEGELSVILLE, PA 180777023
6107490930
365 DELAWARE RD, PO BOX 365
RIEGELSVILLE, PA 180777023
PO BOX, SUITE 365
RIEGELSVILLE, PA 18077
Source: CMS National Downloadable File, September 2026.