Provider First Line Business Practice Location Address:
600 N.WOLFE ST
Provider Second Line Business Practice Location Address:
THE WILMER INSTITUTE , 233 JOHNS HOPKINS HOSPITAL
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287-9028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-955-8314
Provider Business Practice Location Address Fax Number:
410-955-0809
Provider Enumeration Date:
08/20/2007