Graduated: 1992
NPI: 1982618492
Practice Locations (2)
MERITUS MEDICAL CENTER INC
11110 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426700
MEDICAL PRACTICES OF ANTIETAM, LLC
1130 PROFESSIONAL CT
HAGERSTOWN, MD 217405852
2403139650
Source: CMS National Downloadable File, September 2026.