Registry details
Type
Individual
Primary specialty
Family Medicine, Geriatric Medicine
Enumerated
Apr 27, 2021
License(s)
MD489867 (PA), MD489867 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2347 5TH AVE | Mckeesport, PA 15132-1126 | 412-673-5504 |
| LOCATION | 2347 5TH AVE | Mckeesport, PA 15132-1126 | 412-673-5504 |
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