Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1979
NPI: 1629032776
Practice Locations (3)
82 RED HILL RD, P.O. BOX 10
Newport, PA 170748708
82 RED HILL RD
NEWPORT, PA 170748708
7175677884
PO BOX, SUITE 10
NEWPORT, PA 17074
Source: CMS National Downloadable File, September 2026.