Provider First Line Business Practice Location Address:
4061 POWDER MILL ROAD, SUITE 200
Provider Second Line Business Practice Location Address:
MEDSTAR MEDICAL GROUP RADIOLOGY LLC
Provider Business Practice Location Address City Name:
CALVERTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-902-1063
Provider Business Practice Location Address Fax Number:
301-902-1086
Provider Enumeration Date:
07/12/2010