Graduated: 1998
NPI: 1689795163
Practice Locations (3)
14350 SOLOMONS ISLAND RD, 202A AVONDALE CENTER
SOLOMONS, MD 20688
4103262333
14350 SOLOMONS ISLAND RD, SUITE 202A
SOLOMONS, MD 206880860
PO BOX, SUITE 860
SOLOMONS, MD 20688
Source: CMS National Downloadable File, September 2026.