Provider First Line Business Practice Location Address:
43 HIGH STREET
Provider Second Line Business Practice Location Address:
SOUTHCOAST PHYSICIAN SERVICES, INC.
Provider Business Practice Location Address City Name:
WAREHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02750
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-961-5919
Provider Business Practice Location Address Fax Number:
508-961-5916
Provider Enumeration Date:
08/30/2006