Provider First Line Business Practice Location Address:
BLOOMBERG CHILDRENS CENTER 1800 ORLEANS ST
Provider Second Line Business Practice Location Address:
ROOM 12347
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-955-7858
Provider Business Practice Location Address Fax Number:
410-955-8691
Provider Enumeration Date:
06/23/2008