Provider First Line Business Practice Location Address:
363 HIGHLAND AVENUE
Provider Second Line Business Practice Location Address:
SOUTHCOAST PHYSICIAN SERVICES, INC.
Provider Business Practice Location Address City Name:
FALL RIVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-679-7814
Provider Business Practice Location Address Fax Number:
508-679-7881
Provider Enumeration Date:
06/17/2005