Provider First Line Business Practice Location Address:
BROWN UNIVERSITY HEALTH SERVICE
Provider Second Line Business Practice Location Address:
BOX 1928
Provider Business Practice Location Address City Name:
PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-863-3953
Provider Business Practice Location Address Fax Number:
401-863-7953
Provider Enumeration Date:
03/19/2007