Provider First Line Business Practice Location Address:
JOHNS HOPKINS HOSPITAL 600 N WOLFE ST
Provider Second Line Business Practice Location Address:
BLALOCK 1008
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-650-4919
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/17/2012