Provider First Line Business Practice Location Address:
ALLSTON PHYSICAL MEDICAL
Provider Second Line Business Practice Location Address:
39 BRIGHTON AVENUE
Provider Business Practice Location Address City Name:
ALLSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-783-5783
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/03/2007