Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1992
NPI: 1568461531
Practice Locations (3)
TIDALHEALTH SPECIALTY CARE LLC
314 FRANKLIN AVE, SUITE 108
BERLIN, MD 218111236
4109126023
TIDALHEALTH ATLANTIC INC
314 FRANKLIN AVE, SUITE 201
BERLIN, MD 218111237
4106290366
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
Source: CMS National Downloadable File, September 2026.