Graduated: 2022
NPI: 1962123752
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
3001 S HANOVER ST
BALTIMORE, MD 212251233
MEDSTAR MEDICAL GROUP II LLC
1406 CRAIN S HWY 106
GLEN BURNIE, MD 210614086
4107686440
Source: CMS National Downloadable File, September 2026.