Provider First Line Business Practice Location Address:
SPRING GROVE HOSPITAL GROUNDS
Provider Second Line Business Practice Location Address:
MAPLE AND LOCUST STREETS
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-402-7694
Provider Business Practice Location Address Fax Number:
410-402-7198
Provider Enumeration Date:
04/06/2006