Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1985
NPI: 1982604393
Practice Locations (2)
EVANGELICAL MEDICAL SERVICES ORGANIZATION
1 HOSPITAL DR
LEWISBURG, PA 178379350
5705222000
SUSQUEHANNA PHYSICIAN SERVICES
700 HIGH ST
WILLIAMSPORT, PA 177013100
5703211279
Source: CMS National Downloadable File, September 2026.