Provider First Line Business Practice Location Address:
3290 EXECUTIVE CENTER II
Provider Second Line Business Practice Location Address:
CAMBRIDGE HEALTHCARE NORTH RIDGE
Provider Business Practice Location Address City Name:
ELLICOTT
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-750-9006
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/27/2007