Graduated: 2001
NPI: 1689650335
Practice Locations (2)
LEHIGH VALLEY PHYSICIAN GROUP
330 MAIN ST
DICKSON CITY, PA 185191691
6104026164
GEISINGER CLINIC
1000 E MOUNTAIN DR
WILKES BARRE, PA 187110001
5708267850
Source: CMS National Downloadable File, September 2026.