Provider First Line Business Practice Location Address:
261 S HIGHLAND AVE
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:
21224-2364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-327-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2007