Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
Offers telehealth
NPI: 1568419901
Practice Locations (1)
MEDICAL PRACTICES OF ANTIETAM, LLC
11110 MEDICAL CAMPUS RD, SUITE 228
HAGERSTOWN, MD 217426727
3017909350
Source: CMS National Downloadable File, September 2026.