Graduated: 1975
NPI: 1275507550
Practice Locations (3)
11701 ROBY AVE
BELTSVILLE, MD 207051509
3017254300
9900 WASHINGTON BLVD N, SUITE L
LAUREL, MD 207231972
9900 WASHINGTON N BLVD, SUITE L
LAUREL, MD 207231972
3017764996
Source: CMS National Downloadable File, September 2026.