Graduated: 2002
NPI: 1639306012
Practice Locations (2)
FREDERICK HEALTH MEDICAL GROUP LLC
400 W 7TH ST
FREDERICK, MD 217014506
2402156310
FREDERICK HEALTH MEDICAL GROUP LLC
504 E RIDGEVILLE BLVD
MOUNT AIRY, MD 217715942
2402156310
Source: CMS National Downloadable File, September 2026.