Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 7/31/2020
FDA
10903 New Hampshire Ave
Bldg 22; room 5468 Silver Spring, MD 20993
Phone: 301-796-4849
Fax: 301-796-9842
Location Details
- Practitioner spends 100% of time at this location.
- Days that practitioner sees patients at this location:
None
Years in Active Clinical Practice
Last Updated 7/31/2020
Years in Active Clinical Practice Inside US/Canada: 27
Medicaid
Last Updated 7/31/2020
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Virginia
Hospital Affiliations
Last Updated 7/31/2020
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 7/31/2020
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