Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1984
NPI: 1679583587
Practice Locations (1)
LIFEBRIDGE COMMUNITY PHYSICIANS INC
8875 CENTRE PARK DR, SUITE D
COLUMBIA, MD 210452382
4104893020
Source: CMS National Downloadable File, September 2026.