Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1989
NPI: 1689673659
Practice Locations (2)
2200 HAMILTON ST, SUITE 214
ALLENTOWN, PA 181046329
4842730401
4500 CITY AVE, FL 3
PHILADELPHIA, PA 191311509
2676392555
Source: CMS National Downloadable File, September 2026.