Graduated: 2000
NPI: 1881692614
Practice Locations (4)
2657 ROUTE 940, UNIT 114
POCONO SUMMIT, PA 183465003
5708398818
2657 RTE, 940 PO BOX 627
POCONO SUMMIT, PA 183460627
2657 RTE 940, 114 PO BOX 627
POCONO SUMMIT, PA 183460627
PO BOX, SUITE 627
POCONO SUMMIT, PA 183460627
Source: CMS National Downloadable File, September 2026.