Provider First Line Business Practice Location Address:
9 PLEASANT ST
Provider Second Line Business Practice Location Address:
MEDICINE ASSOCIATES LTD
Provider Business Practice Location Address City Name:
PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-331-8555
Provider Business Practice Location Address Fax Number:
401-751-3512
Provider Enumeration Date:
03/23/2007