Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 10/13/2020
11 South Paca Street
suite 300A Ellicott city, MD 21201
Phone: 410-328-4924
Location Details
- Practitioner spends 50% of time at this location.
Years in Active Clinical Practice
Last Updated 10/13/2020
Years in Active Clinical Practice Inside US/Canada: 7
Medicaid
Last Updated 10/13/2020
Participate in the Virginia Medicaid program Is accepting new Virginia Medicaid patients
Medicare
Last Updated 10/13/2020
Is a Medicare participating provider
Is a Medicare Non-participating provider Is accepting new Medicare patients
Virginia
Hospital Affiliations
Last Updated 10/13/2020
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 10/13/2020
(Baltimore,MD) University of Maryland Medical Center
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