Provider First Line Business Practice Location Address:
UNIV OF MD HEALTH CTR
Provider Second Line Business Practice Location Address:
CAMPUS DRIVE, BLDG. 140
Provider Business Practice Location Address City Name:
COLLEGE PARK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20742-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-314-8145
Provider Business Practice Location Address Fax Number:
301-405-9755
Provider Enumeration Date:
01/09/2007