Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1989
NPI: 1760486294
Practice Locations (2)
NORTH CENTRAL OHIO FAMILY CARE CENTER INC
2981 W 4TH ST
ONTARIO, OH 449061267
4194680505
NORTH CENTRAL OHIO FAMILY CARE CENTER INC
600 RICHLAND MALL
ONTARIO, OH 449061246
4194680505
Source: CMS National Downloadable File, September 2026.