Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Sep 8, 2010
License(s)
MD485138 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1600 ST LUKES BLVD STE 100 | Easton, PA 18045-5671 | 484-503-7546 |
| LOCATION | 1600 ST LUKES BLVD STE 100 | Easton, PA 18045-5671 | 484-503-7546 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.