Provider First Line Business Practice Location Address:
500 W UNIVERSITY PKWY STE 1H
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21210-3289
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-243-7300
Provider Business Practice Location Address Fax Number:
410-666-1554
Provider Enumeration Date:
08/10/2006