Graduated: 1988
NPI: 1275682320
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7141 SECURITY BLVD, WOODLAWN MED CTR
BALTIMORE, MD 212441811
4436636000
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
655 WATKINS MILL RD
GAITHERSBURG, MD 208793301
2406324000
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1221 MERCANTILE LN
LARGO, MD 207745374
3016185700
Source: CMS National Downloadable File, September 2026.