Provider First Line Business Practice Location Address:
301 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CTR
Provider Business Practice Location Address City Name:
GLEN BERNIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-787-4509
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/14/2017