Provider First Line Business Practice Location Address:
301 HOSPITAL DRIVE, EMERGENCY DEPARTMENT
Provider Second Line Business Practice Location Address:
BALTIMORE WASHINGTON MEDICAL CENTER
Provider Business Practice Location Address City Name:
GLEN BURNIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-787-4349
Provider Business Practice Location Address Fax Number:
410-328-8028
Provider Enumeration Date:
05/17/2007