Provider First Line Business Practice Location Address:
1800 ORLEANS STREET
Provider Second Line Business Practice Location Address:
SUITE 8S 8520 NEONATOLOGY
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-955-5259
Provider Business Practice Location Address Fax Number:
410-955-0298
Provider Enumeration Date:
08/15/2008