Provider First Line Business Practice Location Address:
363 HIGHLAND AVE.
Provider Second Line Business Practice Location Address:
CHARLTON HOSPITAL -SOUTH COAST HOSPITAL
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:
508-679-7332
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2006