Graduated: 1979
NPI: 1538148283
Practice Locations (2)
MERITUS MEDICAL CENTER INC
11110 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426700
MEDICAL PRACTICES OF ANTIETAM, LLC
11110 MEDICAL CAMPUS RD, SUITE 242
HAGERSTOWN, MD 217426728
2405137072
Source: CMS National Downloadable File, September 2026.