Graduated: 1993
NPI: 1962415034
Practice Locations (3)
MEDSTAR MEDICAL GROUP II LLC
5601 LLOCH RAVEN BLVD
BALTIMORE, MD 212392945
4434448000
ST AGNES HEALTHCARE INC
900 CATON AVE
BALTIMORE, MD 212295201
6672346000
LAKE SPRING PHYSICIAN SERVICES, LLC
1900 ELECTRIC RD
SALEM, VA 241537474
5407764000
Source: CMS National Downloadable File, September 2026.