Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1987
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1760593552
Practice Locations (2)
TIDALHEALTH PRIMARY CARE LLC
11101 CATHAGE RD, UNIT 102
BERLIN, MD 218112115
4109126104
TIDALHEALTH PRIMARY CARE LLC
400 EASTERN SHORE DR
SALISBURY, MD 218045513
4105438240
Source: CMS National Downloadable File, September 2026.