Provider First Line Business Practice Location Address:
215 WASHINGTON HEIGHTS MED CTR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21157-5632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-848-5450
Provider Business Practice Location Address Fax Number:
410-848-5451
Provider Enumeration Date:
11/08/2006