Graduated: 1980
Offers telehealth
NPI: 1467589119
Practice Locations (3)
10630 LITTLE PATUXENT PKWY, SUITE 307
COLUMBIA, MD 210443200
10630 LITTLE PATUXENT PKWY, SUITE 307
COLUMBIA, MD 210446211
4436295559
12290 GREEN MEADOW DR APT, SUITE 116
COLUMBIA, MD 210444847
Source: CMS National Downloadable File, September 2026.