Provider First Line Business Practice Location Address:
JOHNS HOPKINS BAYVIEW
Provider Second Line Business Practice Location Address:
4940 EASTERN AVENUE, ALPHA COMMONS 4TH FLOOR
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-550-2204
Provider Business Practice Location Address Fax Number:
410-550-1407
Provider Enumeration Date:
06/12/2006