Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1988
NPI: 1730121674
Practice Locations (2)
23250 MERCANTILE RD, SUITE 120
BEACHWOOD, OH 441225928
2165911600
JEWISH FAMILY SERVICE ASSOCIATION
29125 CHAGRIN BLVD
BEACHWOOD, OH 441224609
2162923999
Source: CMS National Downloadable File, September 2026.