Graduated: 2012
NPI: 1962743815
Practice Locations (3)
LIFEBRIDGE ANESTHESIA ASSOCIATES LLC
5401 OLD COURT RD
RANDALLSTOWN, MD 211335103
80051653155104
BALTIMORE KETAMINE CLINIC
909 RIDGEBROOK RD
SPARKS, MD 211529476
4108705482
BALTIMORE KETAMINE CLINIC
909 RIDGEBROOK RD, SUITE 202
SPARKS, MD 211529476
4108705482
Source: CMS National Downloadable File, September 2026.