Provider First Line Business Practice Location Address:
201 E UNIVERSITY PARKWAY, DEPT OF MEDICINE
Provider Second Line Business Practice Location Address:
MEDSTAR UNION MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-554-2284
Provider Business Practice Location Address Fax Number:
410-554-2184
Provider Enumeration Date:
06/09/2014