Provider First Line Business Practice Location Address:
2701 N CHARLES ST
Provider Second Line Business Practice Location Address:
STE. 400 NORTH CHARLES SLEEP CENTER
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21218-4351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-261-7378
Provider Business Practice Location Address Fax Number:
410-261-2655
Provider Enumeration Date:
08/09/2011