2085R0001X
Forty Fort, PA
Specialty
2085R0001X
Credential
MD
NPI
1013954007
190 Welles St, Forty Fort, PA 18704
(570) 263-4091Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 2085r0001x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 2085R0001X