Graduated: 2019
NPI: 1598647877
Practice Locations (4)
100 N ACADEMY AVE
Danville, PA 178224903
100 N ACADEMY AVE
DANVILLE, PA 178224903
1211 FRANKLIN ST
OLD FORGE, PA 185181224
501 S WASHINGTON AVE, SUITE 1000
SCRANTON, PA 185053805
Source: CMS National Downloadable File, September 2026.