Provider First Line Business Practice Location Address:
UNIVERSITY OF MARYLAND
Provider Second Line Business Practice Location Address:
UNIVERSITY HEALTH CENTER, BUILDING 140
Provider Business Practice Location Address City Name:
COLLEGE PARK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20742-4711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-405-1046
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/22/2010