Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Sep 4, 2025
License(s)
MA066892 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 801 OSTRUM ST | Bethlehem, PA 18015-1000 | 732-331-0744 |
| MAILING | 801 OSTRUM ST | Bethlehem, PA 18015-1000 | 732-331-0744 |
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