Graduated: 2014
NPI: 1669852505
Practice Locations (2)
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC
940 N NEW ST, SUITE 140
BETHLEHEM, PA 180182756
4848931482
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC
1020 W LACKAWANNA AVE
SCRANTON, PA 185042052
4135842173
Source: CMS National Downloadable File, September 2026.