Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1912051251
Practice Locations (2)
PRIVIA CARE CENTER LLC
110 BAUGHMANS LN, SUITE 140
FREDERICK, MD 217024649
2402151138
PRIVIA CARE CENTER LLC
63 THOMAS JOHNSON DR, SUITE E
FREDERICK, MD 217024399
3016947600
Source: CMS National Downloadable File, September 2026.