Provider First Line Business Practice Location Address:
601 N. CAROLINE ST.
Provider Second Line Business Practice Location Address:
6TH FLOOR OTOLARYNGOLOGY HEAD AND NECK SURGERY
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-955-6420
Provider Business Practice Location Address Fax Number:
410-614-8610
Provider Enumeration Date:
07/13/2010