Provider First Line Business Practice Location Address:
3100 WYMAN PARK DR
Provider Second Line Business Practice Location Address:
INTERNAL MEDICINE
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-338-3000
Provider Business Practice Location Address Fax Number:
410-338-3000
Provider Enumeration Date:
09/22/2006