Graduated: 1999
NPI: 1528226719
Practice Locations (3)
GRACEWAY HEALTH CARE LLC
9200 FRANKLIN SQUARE DR
BALTIMORE, MD 212374458
4103912600
GRACEWAY HEALTH CARE LLC
9211 STUART LN
CLINTON, MD 207352712
3018683600
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC
12070 OLD LINE CTR, SUITE 102
WALDORF, MD 206022503
3018704100
Source: CMS National Downloadable File, September 2026.