Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1976
NPI: 1134289648
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
700 2ND ST NE
WASHINGTON, DC 200028100
2023463000
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7141 SECURITY BLVD, WOODLAWN MED CTR
BALTIMORE, MD 212441811
4436636000
Source: CMS National Downloadable File, September 2026.