Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2002
NPI: 1760432371
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7190 CRESTWOOD BLVD
FREDERICK, MD 217037314
2405291700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1221 MERCANTILE LN
LARGO, MD 207745374
3016185700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
12201 PLUM ORCHARD DR
SILVER SPRING, MD 209047803
3015721000
Source: CMS National Downloadable File, September 2026.