Graduated: 1995
NPI: 1376747451
Practice Locations (3)
MEDSTAR MEDICAL GROUP II LLC
1420 KEY HWY
BALTIMORE, MD 212305116
4102307800
MEDSTAR MEDICAL GROUP II LLC
3001 S HANOVER ST
BALTIMORE, MD 212251233
MEDSTAR MEDICAL GROUP II LLC
1406 CRAIN S HWY 106
GLEN BURNIE, MD 210614086
4107686440
Source: CMS National Downloadable File, September 2026.