Provider First Line Business Practice Location Address:
300 ARMORY PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21201-4603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-225-8215
Provider Business Practice Location Address Fax Number:
410-225-8471
Provider Enumeration Date:
02/07/2006