Graduated: 1984
NPI: 1679540553
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 212373901
4437777000
MEDSTAR MEDICAL GROUP II LLC
7503 SURRATTS RD
CLINTON, MD 207353358
3018688000
Source: CMS National Downloadable File, September 2026.