Provider First Line Business Practice Location Address:
ST JOSEPH HEALTH CENTER
Provider Second Line Business Practice Location Address:
30 THE QUEENSWAY, ROOM 2G112
Provider Business Practice Location Address City Name:
TORONTO
Provider Business Practice Location Address State Name:
ONTARIO
Provider Business Practice Location Address Postal Code:
M6R 1B5
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
416-530-6486
Provider Business Practice Location Address Fax Number:
416-530-6284
Provider Enumeration Date:
09/23/2014