Provider First Line Business Practice Location Address:
3400 N. CHARLES STREET
Provider Second Line Business Practice Location Address:
JOHNS HOPKINS U. STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21218-2682
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-516-7746
Provider Business Practice Location Address Fax Number:
410-516-4784
Provider Enumeration Date:
12/20/2006