Provider First Line Business Practice Location Address:
428 WASHINGTON ST. SUITE 1
Provider Second Line Business Practice Location Address:
SAMARITAN MEDICAL PRACTICE GENERAL SURGERY
Provider Business Practice Location Address City Name:
WATERTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-782-1505
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/12/2010