Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2000
NPI: 1376768184
Practice Locations (5)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
888 BESTGATE RD
ANNAPOLIS, MD 214013091
4105717300
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7070 SAMUEL MORSE DR
COLUMBIA, MD 210463424
4103094600
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1701 TWIN SPRINGS RD
HALETHORPE, MD 212273553
4107375000
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1221 MERCANTILE LN
LARGO, MD 207745374
3016185700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
125 HOSPITAL CTR BLVD
STAFFORD, VA 225546202
5406026500
Source: CMS National Downloadable File, September 2026.