Provider First Line Business Practice Location Address:
BROWN UNIVERSITY HEALTH SERVICES
Provider Second Line Business Practice Location Address:
BROWN UNIVERSITY, 13 BROWN STREET
Provider Business Practice Location Address City Name:
PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02912-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-863-9535
Provider Business Practice Location Address Fax Number:
401-863-7953
Provider Enumeration Date:
11/20/2006