Provider First Line Business Practice Location Address:
UNIVERSITY OF MARYLAND PRINCE GEORGE'S HOSPITAL CENTER
Provider Second Line Business Practice Location Address:
DEPARTMENT OF MEDICINE, 3001 HOSPITAL DRIVE 5TH FLOOR
Provider Business Practice Location Address City Name:
CHEVERLY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20785
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-618-3772
Provider Business Practice Location Address Fax Number:
301-618-2986
Provider Enumeration Date:
03/31/2020