Provider First Line Business Practice Location Address: 
9000 FRANKLIN SQUARE DRIVE
    Provider Second Line Business Practice Location Address: 
EMERGENCY MEDICINE ADMIN OFFICE
    Provider Business Practice Location Address City Name: 
BALTIMORE
    Provider Business Practice Location Address State Name: 
MD
    Provider Business Practice Location Address Postal Code: 
21237
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
443-777-7000
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/01/2016