Graduated: 1977
NPI: 1003871872
Practice Locations (10)
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
3510 ANTON FARMS RD
PIKESVILLE, MD 212081703
5164057000
NORTH SHORE-LIJ MEDICAL PC
3510 ANTON FARMS RD
PIKESVILLE, MD 212081703
5164057000
SANFORD MEDICAL CENTER FARGO
2400 32ND AVE S
FARGO, ND 581035800
7012342000
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
SANFORD MEDICAL CENTER FARGO
1720 UNIVERSITY DR S
FARGO, ND 581034940
7012342000
SANFORD MEDICAL CENTER FARGO
5225 23RD AVE S
FARGO, ND 581047927
7014172575
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
ANCILLARY SERVICES OF PRACTICE ASSOCIATES PA
100 MADISON AVE
MORRISTOWN, NJ 079606136
9739715370
NORTH SHORE-LIJ MEDICAL PC
404 POTTER BLVD
BRIGHTWATERS, NY 117181830
6313760055
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1220 HICKSVILLE RD
SEAFORD, NY 117831604
5162663456
Source: CMS National Downloadable File, September 2026.