Provider First Line Business Practice Location Address:
22 S GREENE ST, ROOM S9D10
Provider Second Line Business Practice Location Address:
UNIV. OF MD, MARLENE & STEWART GREENEBAUM CANCER CENTER
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21201-1544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-328-8668
Provider Business Practice Location Address Fax Number:
410-328-1975
Provider Enumeration Date:
01/22/2008