Provider First Line Business Practice Location Address:
22 S GREENE ST,
Provider Second Line Business Practice Location Address:
3RD FLOOR SHOCK TRAUMA ORTHOPAEDICS
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-328-6280
Provider Business Practice Location Address Fax Number:
410-328-2893
Provider Enumeration Date:
12/02/2010