Graduated: 1991
NPI: 1740487495
Practice Locations (2)
MERITUS MEDICAL CENTER INC
11110 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426700
MEDICAL PRACTICES OF ANTIETAM, LLC
13620 CRAYTON BLVD
HAGERSTOWN, MD 217422335
2403139890
Source: CMS National Downloadable File, September 2026.