Provider First Line Business Practice Location Address:
57 W TIMONIUM RD
Provider Second Line Business Practice Location Address:
THE ALPHA GROUP, LLC
Provider Business Practice Location Address City Name:
TIMONIUM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21093-3125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-252-4600
Provider Business Practice Location Address Fax Number:
410-252-4601
Provider Enumeration Date:
07/04/2006