Graduated: 1980
NPI: 1639178411
Practice Locations (3)
1605 N CEDAR CREST BLVD, SUITE 110B
Allentown, PA 181042351
1605 N CEDAR CREST BLVD, SUITE 110B
ALLENTOWN, PA 181042351
101 S SCHANCK AVE
PEN ARGYL, PA 180721697
Source: CMS National Downloadable File, September 2026.