Graduated: 1997
NPI: 1023382207
Practice Locations (2)
MDICS AT BWMC LLC
301 HOSPITAL DR
GLEN BURNIE, MD 210615803
4439490814
MERITUS MEDICAL CENTER INC
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426710
3017908000
Source: CMS National Downloadable File, September 2026.