Provider First Line Business Practice Location Address: 
900 CATON AVE
    Provider Second Line Business Practice Location Address: 
ST. AGNES HOSPITAL/ CANCER CENTER
    Provider Business Practice Location Address City Name: 
BALTIMORE
    Provider Business Practice Location Address State Name: 
MD
    Provider Business Practice Location Address Postal Code: 
21229-5201
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
410-368-2910
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
02/11/2007