Graduated: 1993
NPI: 1972839082
Practice Locations (2)
SCRANTON QUINCY CLINIC COMPANY LLC
315 S MAIN ST
OLD FORGE, PA 185181606
5704578364
SCRANTON QUINCY CLINIC COMPANY LLC
746 JEFFERSON AVE
SCRANTON, PA 185101624
5703405079
Source: CMS National Downloadable File, September 2026.