Provider First Line Business Practice Location Address:
2 EAST LEE 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:
21202-6013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-727-6190
Provider Business Practice Location Address Fax Number:
410-659-0839
Provider Enumeration Date:
07/09/2006