Graduated: 1989
NPI: 1346387842
Practice Locations (3)
8525 CHEVY CHASE LAKE TER, APT 650
CHEVY CHASE, MD 208154100
4105072569
8525 CHEVY CHASE LAKE TERRACE, APT 650
CHEVY CHASE, MD 208154100
10114 DAY AVE
SILVER SPRING, MD 209101040
4105072569
Source: CMS National Downloadable File, September 2026.