Provider First Line Business Practice Location Address:
DEPT OF SURGERY BLALOCK 658
Provider Second Line Business Practice Location Address:
600 N WOLFE ST
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-955-6796
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2025