Provider First Line Business Practice Location Address:
EMPIRE MEDICAL BUILDING 200 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
CHESAPEAKE ORTHOPEADICS & SPORTS MEDICINE
Provider Business Practice Location Address City Name:
GLEN BURNIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-768-5555
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/31/2005