Provider First Line Business Practice Location Address:
546 MAIN RD
Provider Second Line Business Practice Location Address:
PRIMA CARE, PC
Provider Business Practice Location Address City Name:
TIVERTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02878-1350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-624-8200
Provider Business Practice Location Address Fax Number:
401-624-8345
Provider Enumeration Date:
06/02/2005