Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1988
NPI: 1861470163
Practice Locations (1)
ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
2240 E 38TH ST, 200 MCCLELLAND FAMILY PRACTICE
ERIE, PA 165103688
8148254262
Source: CMS National Downloadable File, September 2026.