Provider First Line Business Practice Location Address:
NEPHROLOGY CENTER OF MARYLAND, 5601 LOCH RAVEN BLVD.
Provider Second Line Business Practice Location Address:
SUITE 3 NORTH
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21239-2905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-444-3775
Provider Business Practice Location Address Fax Number:
443-444-4678
Provider Enumeration Date:
06/27/2005