Provider First Line Business Practice Location Address:
5755 CEDAR LANE SUITE 134
Provider Second Line Business Practice Location Address:
HOWARD COUNTY GENERAL HOSPITAL EMERGENCY ROOM
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-884-4746
Provider Business Practice Location Address Fax Number:
410-884-4749
Provider Enumeration Date:
11/29/2006