Graduated: 2016
NPI: 1528629698
Practice Locations (2)
MERITUS MEDICAL CENTER INC
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426710
3017908000
NORTH SHORE-LIJ MEDICAL PC
301 E MAIN ST
BAY SHORE, NY 117068408
6319683636
Source: CMS National Downloadable File, September 2026.