Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1984
NPI: 1912973637
Practice Locations (2)
PRIVIA MEDICAL GROUP, LLC
10201 KRAUSE RD
CHESTERFIELD, VA 238326575
8047486229
PRIVIA MEDICAL GROUP, LLC
8644 SUDLEY RD, SUITE 220
MANASSAS, VA 201104425
5713668845
Source: CMS National Downloadable File, September 2026.