Graduated: 1982
NPI: 1972599314
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
1145 19TH ST NW, 311 MMG AT 19TH STREET NW
WASHINGTON, DC 200363735
2024292401
MEDSTAR MEDICAL GROUP II LLC
3305 N LEISURE WORLD BLVD, MEDSTAR HEALTH AT LEISURE WORLD BLV
SILVER SPRING, MD 209061367
3015981590
Source: CMS National Downloadable File, September 2026.