Provider First Line Business Practice Location Address:
601 N CAROLINE ST
Provider Second Line Business Practice Location Address:
5TH FLOOR-NEUROLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287-0006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-502-6732
Provider Business Practice Location Address Fax Number:
410-614-0845
Provider Enumeration Date:
04/05/2011