Graduated: 1979
Offers telehealth
NPI: 1376504027
Practice Locations (2)
NORTHWEST HOSPITAL CENTER INC
5401 OLD COURT RD
RANDALLSTOWN, MD 211335103
4107014434
LIFEBRIDGE COMMUNITY PHYSICIANS INC
8600 LIBERTY RD
RANDALLSTOWN, MD 211334707
4105214211
Source: CMS National Downloadable File, September 2026.