Graduated: 1993
NPI: 1780029454
Practice Locations (2)
PENN STATE HEALTH MEDICAL GROUP LLC
4230 CRUMS MILL RD, SUITE 100
HARRISBURG, PA 171122898
7172336171
PENN STATE HEALTH MEDICAL GROUP LLC
1120 COCOA AVE
HERSHEY, PA 170331712
7175334141
Source: CMS National Downloadable File, September 2026.