Provider First Line Business Practice Location Address:
543 NORTH STREET
Provider Second Line Business Practice Location Address:
SOUTHCOAST PHYSICIAN SERVICES, INC.
Provider Business Practice Location Address City Name:
NEW BEDFORD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02740-2766
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-996-1800
Provider Business Practice Location Address Fax Number:
508-992-7906
Provider Enumeration Date:
05/16/2006