Provider First Line Business Practice Location Address:
BACKBONE RD
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MARYLAND EASTERN SHORE HEALTH CENTER
Provider Business Practice Location Address City Name:
PRINCESS ANNE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21853
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-651-6597
Provider Business Practice Location Address Fax Number:
410-651-6702
Provider Enumeration Date:
12/12/2006