Provider First Line Business Practice Location Address:
830 WASHINGTON ST
Provider Second Line Business Practice Location Address:
SAMARITAN MEDICAL CENTER
Provider Business Practice Location Address City Name:
WATERTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13601-4034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
971-206-5140
Provider Business Practice Location Address Fax Number:
971-206-5209
Provider Enumeration Date:
06/06/2007