Provider First Line Business Practice Location Address:
201 E. UNIVERSITY PARKWAY - CVRU BASEMENT
Provider Second Line Business Practice Location Address:
MEDSTAR UNION MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21218-2829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-554-2008
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2007