Provider First Line Business Practice Location Address:
143 NORTH STREET, SUITE #4
Provider Second Line Business Practice Location Address:
D/B/A AUBURN OBSTETRICS & GYNECOLOGY
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13021-1983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-252-5028
Provider Business Practice Location Address Fax Number:
315-252-1587
Provider Enumeration Date:
09/29/2010