Graduated: 1992
NPI: 1285619890
Practice Locations (2)
NORTHEAST GASTROENTEROLOGY CENTER, INC.
10 PARK PL
HAZLE TOWNSHIP, PA 182022885
5704541400
360 ANESTHESIA PLLC
575 N RIVER ST
WILKES BARRE, PA 187640999
5708298111
Source: CMS National Downloadable File, September 2026.