Provider First Line Business Practice Location Address:
1030 PRESIDENT AVENUE, SUITE 1001
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:
508-730-3000
Provider Business Practice Location Address Fax Number:
508-730-3071
Provider Enumeration Date:
10/28/2005