Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1124065180
Practice Locations (2)
TIDALHEALTH ATLANTIC INC
314 FRANKLIN AVE, SUITE 201
BERLIN, MD 218111237
4106290366
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
Source: CMS National Downloadable File, September 2026.