Graduated: 1984
NPI: 1851348155
Practice Locations (2)
NORTHWEST HOSPITAL CENTER INC
5401 OLD COURT RD
RANDALLSTOWN, MD 211335103
4105212200
5415 OLD COURT RD, SUITE 101
RANDALLSTOWN, MD 211335172
4103087855
Source: CMS National Downloadable File, September 2026.