Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1981
NPI: 1518953264
Practice Locations (2)
521 NORTHERN BOULEVARD
CLARKS SUMMIT, PA 184119024
521 NORTHERN BLVD
SOUTH ABINGTON TOWNSHIP, PA 184119024
5705863976
Source: CMS National Downloadable File, September 2026.