Provider First Line Business Practice Location Address:
238 N. CAREY STREET
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:
21223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-523-2750
Provider Business Practice Location Address Fax Number:
410-462-4713
Provider Enumeration Date:
03/06/2006