Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 1992
NPI: 1700994142
Practice Locations (2)
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC
219 S WASHINGTON ST
EASTON, MD 216012913
41082210005845
NUVANCE HEALTH MEDICAL PRACTICE PC
6511 SPRING BROOK AVE, SUITE 1004
RHINEBECK, NY 125723709
8452276947
Source: CMS National Downloadable File, September 2026.