Graduated: 1985
NPI: 1275857310
Practice Locations (2)
WAYNE MEMORIAL HOSPITAL
601 PARK ST
HONESDALE, PA 184311445
5702538101
DOMINION HEALTH MEDICAL ASSOC
2204 WILBORN AVE
SOUTH BOSTON, VA 245921645
4345173250
Source: CMS National Downloadable File, September 2026.