Provider First Line Business Practice Location Address:
NORTHWEST HOSPITAL
Provider Second Line Business Practice Location Address:
5401 OLD COURT ROAD
Provider Business Practice Location Address City Name:
RANDALLSTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-521-2200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/16/2018