Graduated: 1988
NPI: 1568535888
Practice Locations (5)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
888 BESTGATE RD
ANNAPOLIS, MD 214013091
4105717300
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
5620 AGER RD
HYATTSVILLE, MD 207823729
2409066600
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
10810 CONNECTICUT AVE
KENSINGTON, MD 208952138
3019297100
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1221 MERCANTILE LN
LARGO, MD 207745374
3016185700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
10701 ROSEMARY DR
MANASSAS, VA 201097282
7032573000
Source: CMS National Downloadable File, September 2026.