Provider First Line Business Practice Location Address:
JOHNS HOPKINS UNIVERSITY REED HALL WEST, RM 306A
Provider Second Line Business Practice Location Address:
1620 MCELDERRY ST.
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21205-1904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-614-8667
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2007