Graduated: 2020
NPI: 1689262586
Practice Locations (2)
UNIVERSITY OF MARYLAND PHYSICIANS PA
22 S GREEN ST
BALTIMORE, MD 212011544
UNIVERSITY OF MARYLAND PHYSICIANS PA
22 S GREENE STRE, MED CTR GCRC OFFICE
BALTIMORE, MD 212011544
4103287877
Source: CMS National Downloadable File, September 2026.