Provider First Line Business Practice Location Address:
226A WASHINGTON HEIGHTS MED CTR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21157-5633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-876-6506
Provider Business Practice Location Address Fax Number:
410-876-0048
Provider Enumeration Date:
04/01/2008