Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1997
NPI: 1962469650
Practice Locations (1)
SUSQUEHANNA PHYSICIAN SERVICES
740 HIGH ST, SUITE 2001
WILLIAMSPORT, PA 177013102
5703213165
Source: CMS National Downloadable File, September 2026.