Provider First Line Business Practice Location Address:
KAISER PERMANENTE GAITHERSBURG MEDICAL CENTER
Provider Second Line Business Practice Location Address:
655 WATKINS MILL RD
Provider Business Practice Location Address City Name:
GAITHERSBURG
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20879
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-875-4614
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2007