Graduated: 2004
NPI: 1477656759
Practice Locations (3)
THE PENNSYLVANIA STATE UNIVERSITY
138 FISCHER RD
UNIVERSITY PARK, PA 168024604
8148652191
THE PENNSYLVANIA STATE UNIVERSITY
337 MOORE BUILDING, THE PENNSYLVANIA STATE UNIVERSITY
UNIVERSITY PARK, PA 168029976
THE PENNSYLVANIA STATE UNIVERSITY
743 A HASTINGS RD
UNIVERSITY PARK, PA 168024529
8148655414
Source: CMS National Downloadable File, September 2026.