Graduated: 2020
NPI: 1376132019
Practice Locations (2)
LIFEBRIDGE COMMUNITY PHYSICIANS INC
2000 W BALTIMORE ST, LBH BEHAVIORAL HEALTH CONS
BALTIMORE, MD 212231558
4103623000
ON-TIME MEDICAL GROUP INC
9846 LIBERTY RD
RANDALLSTOWN, MD 211332007
4107544343
Source: CMS National Downloadable File, September 2026.