Provider First Line Business Practice Location Address:
EAST BAY CENTER
Provider Second Line Business Practice Location Address:
2 OLD COUNTY ROAD
Provider Business Practice Location Address City Name:
BARRINGTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-246-1195
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2006