Provider First Line Business Practice Location Address:
1122 SHOEMAKER BLDG
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MARYLAND
Provider Business Practice Location Address City Name:
COLLEGE PARK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20742-8101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-314-7672
Provider Business Practice Location Address Fax Number:
301-314-9206
Provider Enumeration Date:
06/11/2007