Provider First Line Business Practice Location Address:
4301 JONES BRIDGE ROAD
Provider Second Line Business Practice Location Address:
DEPT PATHOLOGY-USUHS
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20814-4799
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-295-3480
Provider Business Practice Location Address Fax Number:
301-295-1640
Provider Enumeration Date:
12/01/2006