Provider First Line Business Practice Location Address:
50 EVERGREEN AVE
Provider Second Line Business Practice Location Address:
CITY HALL ANNEX, HEALTH DEPT.
Provider Business Practice Location Address City Name:
SOMERVILLE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02145-2819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-625-6600
Provider Business Practice Location Address Fax Number:
617-629-3040
Provider Enumeration Date:
05/16/2007