Medical school: MEDICAL COLLEGE OF PENNSYLVANIA
Graduated: 1987
NPI: 1306849625
Practice Locations (2)
PRIMARY CARE SERVICES
12387 CONNEAUT LAKE RD
CONNEAUT LAKE, PA 163164203
8143734298
NOVACARE OUTPATIENT REHABILITATION EAST, INC.
1012 WATER ST
MEADVILLE, PA 163353468
8143372345
Source: CMS National Downloadable File, September 2026.