Graduated: 1991
NPI: 1821458217
Practice Locations (2)
COMMONWEALTH PHYSICIAN NETWORK LLC
423 3RD AVE, SUITE B
KINGSTON, PA 187045809
5702883601
COMMONWEALTH PHYSICIAN NETWORK LLC
4 E MAIN ST
NANTICOKE, PA 186341602
5707357474
Source: CMS National Downloadable File, September 2026.