Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 22, 2006
License(s)
41621 (CO), MD034095E (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 325 S BELMONT ST | York, PA 17403-2608 | 717-843-8623 |
| MAILING | 5100 W TILGHMAN ST STE 315 | Allentown, PA 18104-9166 | 610-395-4044 |
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