Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1986
Offers telehealth
NPI: 1902863509
Practice Locations (2)
104 W MAIN ST
ELKTON, MD 219215509
104 W MAIN ST, SUITE 1
ELKTON, MD 219215509
4109968990
Source: CMS National Downloadable File, September 2026.