Graduated: 2001
NPI: 1659473692
Practice Locations (2)
MEDICAL PRACTICES OF ANTIETAM, LLC
11110 MEDICAL CAMPUS RD, SUITE 241
HAGERSTOWN, MD 217426756
3017144460
MERITUS MEDICAL CENTER INC
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426710
3017908000
Source: CMS National Downloadable File, September 2026.