Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Feb 21, 2007
License(s)
25MA05298400 (NJ), MD050295L (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 N ACADEMY AVE | Danville, PA 17822-4903 | 570-271-6144 |
| LOCATION | 51 BUSINESS CAMPUS WAY STE 200 | Duncannon, PA 17020-9596 | 717-834-3108 |
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