Graduated: 2015
NPI: 1487005112
Practice Locations (8)
1 ZOTEC WAY
CARMEL, IN 460320052
300 DAVE COWENS DR
NEWPORT, KY 410714543
PO BOX, SUITE 62946
BALTIMORE, MD 212642946
PO BOX, SUITE 62939
BALTIMORE, MD 21264
P O BOX, SUITE 448
EAST PETERSBURG, PA 175200448
P O BOX
READING, PA 196123579
MRMI ENROLLMENT CTR, P O BOX 13579
READING, PA 196123579
1413 HWY 17 S, SUITE 307
SURFSIDE BEACH, SC 295756040
Source: CMS National Downloadable File, September 2026.