Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2012
NPI: 1437736279
Practice Locations (3)
2100 MACK BLVD, FL 4
ALLENTOWN, PA 181035622
801 OSTRM ST
BETHLEHEM, PA 180151000
801 OSTRUM ST
BETHLEHEM, PA 180151065
Source: CMS National Downloadable File, September 2026.