Provider First Line Business Practice Location Address:
11 FRIENDSHIP STREET
Provider Second Line Business Practice Location Address:
NEWPORT HOSPITAL
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02840
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-845-4265
Provider Business Practice Location Address Fax Number:
401-845-1643
Provider Enumeration Date:
02/06/2006