Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1971
NPI: 1477544682
Practice Locations (2)
PRIVIA CARE CENTER LLC
301 SAINT PAUL ST, SUITE 409
BALTIMORE, MD 212022102
4106597041
PRIVIA CARE CENTER LLC
1 KINGS DR
TANEYTOWN, MD 217872331
4107511111
Source: CMS National Downloadable File, September 2026.