Provider First Line Business Practice Location Address:
736 CAMBRIDGE ST.
Provider Second Line Business Practice Location Address:
ST. ELIZABETH'S PULMONARY AND CRITICAL CARE
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02135-2907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-779-6705
Provider Business Practice Location Address Fax Number:
617-789-2893
Provider Enumeration Date:
06/13/2006