Provider First Line Business Practice Location Address:
106 MAIN ST
Provider Second Line Business Practice Location Address:
SOUTHCOAST PHYSICIAN SERVICES, INC DBA WAREHAM SURGICAL
Provider Business Practice Location Address City Name:
WAREHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02571-2122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-295-3900
Provider Business Practice Location Address Fax Number:
508-295-3271
Provider Enumeration Date:
05/30/2007