Medical school: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated: 1989
NPI: 1982709580
Practice Locations (1)
SUSQUEHANNA PHYSICIAN SERVICES
1201 GRAMPIAN BLVD, SUITE 2F
WILLIAMSPORT, PA 177011965
5703212020
Source: CMS National Downloadable File, September 2026.