Provider First Line Business Practice Location Address:
900 SETON DR
Provider Second Line Business Practice Location Address:
WESTERN MD HEALTH SYSTEM
Provider Business Practice Location Address City Name:
CUMBERLAND
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-723-5122
Provider Business Practice Location Address Fax Number:
301-723-4983
Provider Enumeration Date:
01/03/2007