Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1164407698
Practice Locations (3)
22325 GREENVIEW PKWY, UNIT 1A
GREAT MILLS, MD 206344405
3018623338
UPPER MARLBORO, MD 20772
4108935505
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
10 SAINT PATRICKS DR
WALDORF, MD 206034527
3013737900
Source: CMS National Downloadable File, September 2026.