Provider First Line Business Practice Location Address:
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Provider Second Line Business Practice Location Address:
4940 EASTERN AVENUE, A5W ROOM 588
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-550-0942
Provider Business Practice Location Address Fax Number:
410-550-0443
Provider Enumeration Date:
03/15/2012