Graduated: 2004
NPI: 1720198906
Practice Locations (2)
LEHIGH VALLEY PHYSICIAN GROUP
330 MAIN ST
DICKSON CITY, PA 185191691
6104026164
HAZLETON ANESTHESIA SERVICES PC
700 E BROAD ST
HAZELTON, PA 182016835
5705014000
Source: CMS National Downloadable File, September 2026.