Provider First Line Business Practice Location Address:
77 TURNPIKE AVE
Provider Second Line Business Practice Location Address:
AQUIDNECK MEDICAL ASSOCIATES
Provider Business Practice Location Address City Name:
PORTSMOUTH
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02871-1419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-863-2290
Provider Business Practice Location Address Fax Number:
401-849-8446
Provider Enumeration Date:
06/28/2005