Provider First Line Business Practice Location Address:
1 FRANKEL WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COCKEYSVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21030-3220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-628-6168
Provider Business Practice Location Address Fax Number:
410-628-6232
Provider Enumeration Date:
07/16/2006