Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1992
NPI: 1770536187
Practice Locations (5)
TIDALHEALTH ATLANTIC INC
9733 HEALTHWAY DR
BERLIN, MD 218111155
4106411100
TIDALHEALTH SPECIALTY CARE LLC
9733 HEALTHWAY DR
BERLIN, MD 218111155
4109124976
TIDALHEALTH ATLANTIC INC
9733 HEALTHWAY DR, SUITE 101
BERLIN, MD 218111155
4106296888
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH ATLANTIC INC
6040 PUBLIC LANDING RD
SNOW HILL, MD 218632453
4106290041
Source: CMS National Downloadable File, September 2026.