Provider First Line Business Practice Location Address:
2225 DEFENSE HIGHWAY
Provider Second Line Business Practice Location Address:
THE PEDIATRIC GROUP
Provider Business Practice Location Address City Name:
CROFTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-721-2273
Provider Business Practice Location Address Fax Number:
410-721-3744
Provider Enumeration Date:
12/28/2006