Graduated: 1994
NPI: 1750477139
Practice Locations (3)
MEDICAL CENTER OF NORTHEASTERN PA LLC
511 PIERCE ST
KINGSTON, PA 187045731
5707143333
ULTRA CARE URGENT AND FAMILY CARE
511 PIERCE ST
KINGSTON, PA 187045731
5707143333
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY INC
335 S FRANKLIN ST
WILKES BARRE, PA 187023808
5708256425581
Source: CMS National Downloadable File, September 2026.