Graduated: 1975
NPI: 1326008582
Practice Locations (3)
188 THOMAS JOHNSON DR
FREDERICK, MD 217024505
188 THOMAS JOHNSON DR, SUITE 200
FREDERICK, MD 217025181
3016956556
MERITUS MEDICAL CENTER INC
11110 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426700
Source: CMS National Downloadable File, September 2026.