Graduated: 2001
NPI: 1871580803
Practice Locations (2)
LEHIGH VALLEY PHYSICIAN GROUP
330 MAIN ST
DICKSON CITY, PA 185191691
6104026164
HAZLETON ANESTHESIA SERVICES PC
2128 BLAKESLEE BLVD DR E
LEHIGHTON, PA 182359619
4842249999
Source: CMS National Downloadable File, September 2026.