Graduated: 1988
NPI: 1942256433
Practice Locations (2)
JEFFERSON ANESTHESIOLOGIST SERVICES PC
830 WASHINGTON ST
WATERTOWN, NY 136014034
3157858509
WAYNE MEMORIAL HOSPITAL
601 PARK ST
HONESDALE, PA 184311445
5702538133
Source: CMS National Downloadable File, September 2026.