Graduated: 1996
NPI: 1417998477
Practice Locations (2)
LEHIGH VALLEY PHYSICIAN GROUP
330 MAIN ST
DICKSON CITY, PA 185191691
6104026164
WELLSPAN MEDICAL GROUP
1001 S GEORGE ST
YORK, PA 174033676
7178512345
Source: CMS National Downloadable File, September 2026.