Graduated: 1973
NPI: 1043286271
Practice Locations (3)
GRACE MEDICAL CENTER INC
2000 W BALTIMORE ST
BALTIMORE, MD 212231558
4103623000
2000 W BALTIMORE ST, BON SECOURS HOSPITAL
BALTIMORE, MD 212231558
4103623000
7102 RITCHIE HWY
GLEN BURNIE, MD 210612904
4107686566
Source: CMS National Downloadable File, September 2026.