Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 1971
NPI: 1417956517
Practice Locations (2)
MGMC LLC
2115 WISCONSIN AVE NW
WASHINGTON, DC 200072265
2024448531
MEDSTAR MEDICAL GROUP II LLC
3800 RESERVOIR RD NW
WASHINGTON, DC 200072113
2024442000
Source: CMS National Downloadable File, September 2026.