Graduated: 1997
NPI: 1588601538
Practice Locations (4)
MEDSTAR MEDICAL GROUP II LLC
3001 S HANOVER ST
BALTIMORE, MD 212251233
MEDSTAR MEDICAL GROUP II LLC
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 212373901
4437777000
MEDSTAR MEDICAL GROUP II LLC
1406 CRAIN S HWY 106
GLEN BURNIE, MD 210614086
4107686440
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157073008
Source: CMS National Downloadable File, September 2026.