Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1991
Offers telehealth
NPI: 1851373013
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
9642 BURKE LAKE RD
BURKE, VA 220153052
7035437920
COMMONWEALTH PRIMARY CARE
1800 GLENSIDE DR, SUITE 101
RICHMOND, VA 232263769
8042883001
Source: CMS National Downloadable File, September 2026.