Provider First Line Business Practice Location Address:
600 N WOLFE ST CARNEGIE BLDG
Provider Second Line Business Practice Location Address:
2N FL. RM 224
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287-0005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-614-5614
Provider Business Practice Location Address Fax Number:
410-614-7114
Provider Enumeration Date:
11/28/2006