Provider First Line Business Practice Location Address:
9730 HEALTHWAY DRIVE
Provider Second Line Business Practice Location Address:
BERLIN HEALTH CENTER
Provider Business Practice Location Address City Name:
BERLIN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-629-0164
Provider Business Practice Location Address Fax Number:
410-629-0185
Provider Enumeration Date:
03/19/2007