Provider First Line Business Practice Location Address:
1769 SUMMER STREET
Provider Second Line Business Practice Location Address:
SUITE 2269 NEW HALIFAX INFIRMARY
Provider Business Practice Location Address City Name:
HALIFAX
Provider Business Practice Location Address State Name:
NOVA SCOTIA
Provider Business Practice Location Address Postal Code:
B3H 3A7
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
902-473-7597
Provider Business Practice Location Address Fax Number:
902-473-4448
Provider Enumeration Date:
05/23/2007