Graduated: 1971
NPI: 1205823010
Practice Locations (2)
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC
2540 CENTREVILLE RD
CENTREVILLE, MD 216172681
4108221000
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC
5 GARRETT AVE
LA PLATA, MD 206465960
3016094000
Source: CMS National Downloadable File, September 2026.