Provider First Line Business Practice Location Address: 
2501 OAKINGTON ST
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
ABERDEEN PROVING GROUND
    Provider Business Practice Location Address State Name: 
MD
    Provider Business Practice Location Address Postal Code: 
21005-5131
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
410-278-1945
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
02/27/2007