Provider First Line Business Practice Location Address:
110 IRVING ST NW STE 4B-1
Provider Second Line Business Practice Location Address:
DEPT OF INTERVENTIONAL CARDIOLOGY
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20010-3017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-877-2988
Provider Business Practice Location Address Fax Number:
207-877-2715
Provider Enumeration Date:
05/25/2011