Provider First Line Business Practice Location Address:
AVENUE H-BUILDING 25
Provider Second Line Business Practice Location Address:
PERRY POINT VA MEDICAL CENTER
Provider Business Practice Location Address City Name:
PERRY POINT
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-949-1003
Provider Business Practice Location Address Fax Number:
410-642-1118
Provider Enumeration Date:
06/22/2009