Provider First Line Business Practice Location Address:
4940 EASTERN AVENUE
Provider Second Line Business Practice Location Address:
INTERNAL MEDICINE CLINIC
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-550-3350
Provider Business Practice Location Address Fax Number:
410-550-0491
Provider Enumeration Date:
05/09/2023