Graduated: 1997
NPI: 1316992241
Practice Locations (2)
AVICENNA PHYSICIAN SERVICES INC
3131 COLLEGE HEIGHTS BLVD, SUITE 1200
ALLENTOWN, PA 181044858
6109048100
ST LUKES PHYSICIAN GROUP INC
830 OSTRUM ST
FOUNTAIN HILL, PA 180151013
6109549005
Source: CMS National Downloadable File, September 2026.