Graduated: 1984
NPI: 1104876713
Practice Locations (4)
MGMC LLC
106 IRVING ST NW, MGMC LLC AT WHC POB
WASHINGTON, DC 200102927
2028773000
MEDSTAR MEDICAL GROUP II LLC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028777000
MGMC LLC
3800 RESERVOIR RD NW
WASHINGTON, DC 200072113
2024443700
SUBURBAN/NRH MEDICAL REHABILITATION INC
6410 ROCKLEDGE DR, SUITE 600
BETHESDA, MD 208171844
Source: CMS National Downloadable File, September 2026.