Provider First Line Business Practice Location Address:
MEDSTAR MEDICAL GROUP RADIOLOGY
Provider Second Line Business Practice Location Address:
4061 POWDER MILL RD. SUITE 210
Provider Business Practice Location Address City Name:
CALVERTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-902-1073
Provider Business Practice Location Address Fax Number:
301-902-1086
Provider Enumeration Date:
10/26/2005