Graduated: 1984
NPI: 1083620843
Practice Locations (2)
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
23415 THREE NOTCH RD, SUITE 2051
CALIFORNIA, MD 206194018
3013737700
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
7501 GREENWAY CTR DR, SUITE 500
GREENBELT, MD 207703546
3013737900
Source: CMS National Downloadable File, September 2026.