Provider First Line Business Practice Location Address:
1501 W SARATOGA ST
Provider Second Line Business Practice Location Address:
ATTN:BCHD FAMILY PLANNING
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21223-1749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-396-0047
Provider Business Practice Location Address Fax Number:
410-462-2923
Provider Enumeration Date:
09/13/2016