Provider First Line Business Practice Location Address: 
600 NORTH WOLFE STREET
    Provider Second Line Business Practice Location Address: 
THE JOHNS HOPKINS HOSPITAL
    Provider Business Practice Location Address City Name: 
BALTIMORE
    Provider Business Practice Location Address State Name: 
MD
    Provider Business Practice Location Address Postal Code: 
21287-2109
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
410-955-5000
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
01/29/2015