Graduated: 1985
NPI: 1790770410
Practice Locations (2)
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
1700 S 23RD ST
FORT PIERCE, FL 349504803
7724678211
MEDICAL PRACTICES OF ANTIETAM, LLC
11110 MEDICAL CAMPUS RD, SUITE 230
HAGERSTOWN, MD 217426727
3016654900
Source: CMS National Downloadable File, September 2026.