Graduated: 2020
NPI: 1962030981
Practice Locations (4)
185 ROSEBERRY ST
PHILIPSBURG, NJ 088651684
185 ROSEBERRY ST
PHILLIPSBURG, NJ 088651690
801 OSTRM ST
BETHLEHEM, PA 180151000
801 OSTRUM ST
BETHLEHEM, PA 180151065
Source: CMS National Downloadable File, September 2026.