Provider First Line Business Practice Location Address:
5051 GREENSPRING AVE STE 300
Provider Second Line Business Practice Location Address:
THE SANDRA AND MALCOLM BERMAN BRAIN & SPINE INSTITUTE
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21209-4358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-601-8077
Provider Business Practice Location Address Fax Number:
410-601-8905
Provider Enumeration Date:
07/25/2008