Provider First Line Business Practice Location Address:
150 ROUTE 1 BYPASS
Provider Second Line Business Practice Location Address:
SPORTSMEDICINE ATLANTIC ORTHOPEDICS, PA
Provider Business Practice Location Address City Name:
PORTSMUTH
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-431-1121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2006