Provider First Line Business Practice Location Address:
900 CANTON AVE
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPARTMENT
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
11577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-368-3045
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2005