Graduated: 1990
NPI: 1699711671
Practice Locations (2)
LIFEBRIDGE COMMUNITY PHYSICIANS INC
2401 W BELVEDERE AVE, LBH MEDICAL GROUP TELERADIOLOGY
BALTIMORE, MD 212155216
4106019000
FREDERICK HEALTH MEDICAL GROUP LLC
501 W 7TH ST
FREDERICK, MD 217014586
3013602574
Source: CMS National Downloadable File, September 2026.