Graduated: 2005
NPI: 1972850980
Practice Locations (4)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7070 SAMUEL MORSE DR
COLUMBIA, MD 210463424
4103094600
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7670 QUARTERFIELD RD
GLEN BURNIE, MD 210613947
4105087650
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1221 MERCANTILE LN
LARGO, MD 207745374
3016185700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
4920 CAMPBELL BLVD
NOTTINGHAM, MD 212365916
4109337600
Source: CMS National Downloadable File, September 2026.