Graduated: 1996
NPI: 1497805147
Practice Locations (2)
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
4920 CAMPBELL BLVD
NOTTINGHAM, MD 212365916
4109337600
Source: CMS National Downloadable File, September 2026.