Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1989
NPI: 1770664419
Practice Locations (2)
PROVIDENCE EAR NOSE AND THROAT ASSOCIATES INC
2112 PROVIDENCE AVE
CHESTER, PA 190135507
6108745366
PROVIDENCE EAR NOSE AND THROAT ASSOCIATES INC
1098 W BALTIMORE PIKE
MEDIA, PA 190635139
6108745366
Source: CMS National Downloadable File, September 2026.