Graduated: 2014
NPI: 1275935934
Practice Locations (2)
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
24035 THREE NOTCH RD
HOLLYWOOD, MD 206364871
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
10 SAINT PATRICKS DR
WALDORF, MD 206034527
3013737900
Source: CMS National Downloadable File, September 2026.