Graduated: 2021
NPI: 1215695366
Practice Locations (2)
GREATER BALTIMORE MEDICAL CENTER INC
6569 N CHARLES ST
BALTIMORE, MD 212045816
GREATER BALTIMORE MEDICAL CENTER INC
10085 RED RUN BLVD
OWINGS MILLS, MD 211174832
4105817804
Source: CMS National Downloadable File, September 2026.