Graduated: 1977
NPI: 1114100583
Practice Locations (3)
PRIVIA MEDICAL GROUP, LLC
133 DEFENSE HWY
ANNAPOLIS, MD 214017015
PRIVIA MEDICAL GROUP, LLC
604 SOLAREX CT, UNIT 206
FREDERICK, MD 217038655
3016630006
PRIVIA MEDICAL GROUP, LLC
11350 PEMBROOKE SQ, SUITE 304
WALDORF, MD 206034809
5713668845
Source: CMS National Downloadable File, September 2026.