Provider First Line Business Practice Location Address:
3350 WILKENS AVE
Provider Second Line Business Practice Location Address:
SETON PAIN & REHAB CENTER STE 101
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21229-4600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-644-8500
Provider Business Practice Location Address Fax Number:
410-644-8900
Provider Enumeration Date:
09/15/2005