Provider First Line Business Practice Location Address:
251 E ANTIETAM ST
Provider Second Line Business Practice Location Address:
WASHINGTON COUNTY HOSPITAL ER
Provider Business Practice Location Address City Name:
HAGERSTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21740-5724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-790-8372
Provider Business Practice Location Address Fax Number:
301-790-8851
Provider Enumeration Date:
06/13/2006