Provider First Line Business Practice Location Address:
1504 #20 S. SALISBURY BLVD.
Provider Second Line Business Practice Location Address:
COURT PLAZA
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-334-3900
Provider Business Practice Location Address Fax Number:
410-334-3955
Provider Enumeration Date:
04/02/2007